Provider Demographics
NPI:1932144524
Name:ROLEX MEDICAL SERVICES & SUPPLIES, INC
Entity Type:Organization
Organization Name:ROLEX MEDICAL SERVICES & SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:O
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-649-5554
Mailing Address - Street 1:1710 NW 7TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33125-3500
Mailing Address - Country:US
Mailing Address - Phone:305-649-5554
Mailing Address - Fax:305-649-5551
Practice Address - Street 1:1710 NW 7TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33125-3500
Practice Address - Country:US
Practice Address - Phone:305-649-5554
Practice Address - Fax:305-649-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1312498332B00000X
FL3203826332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3203826OtherOXYGEN PERMIT
FL1312498OtherAHCA
FL1312498OtherAHCA