Provider Demographics
NPI:1912550955
Name:H.L SUPERIOR REMODELING CORP
Entity Type:Organization
Organization Name:H.L SUPERIOR REMODELING CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:VILMA
Authorized Official - Last Name:MARRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-343-5663
Mailing Address - Street 1:18520 NW 67TH AVE # 336
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3302
Mailing Address - Country:US
Mailing Address - Phone:305-343-5663
Mailing Address - Fax:
Practice Address - Street 1:4315 NW 198TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-1831
Practice Address - Country:US
Practice Address - Phone:305-343-5663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-18
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies