Provider Demographics
NPI:1942293931
Name:PACIFIC MEDICAL CARE & RENTAL EQUIPMENT CORP.
Entity Type:Organization
Organization Name:PACIFIC MEDICAL CARE & RENTAL EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EFRAN
Authorized Official - Middle Name:OLAMENDIS
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-267-9111
Mailing Address - Street 1:1651 W 37 ST
Mailing Address - Street 2:SUITE 308
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012
Mailing Address - Country:US
Mailing Address - Phone:305-556-2162
Mailing Address - Fax:305-818-0591
Practice Address - Street 1:1651 W 37 ST
Practice Address - Street 2:SUITE 308
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012
Practice Address - Country:US
Practice Address - Phone:305-556-2162
Practice Address - Fax:305-818-0591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL332B00000X, 332BP3500X
FL589332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL=========OtherTAX ID
FL0878810001Medicare ID - Type UnspecifiedPROVIDER NUMBER