Provider Demographics
NPI:1952464422
Name:BORREGO MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:BORREGO MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-457-6615
Mailing Address - Street 1:409 W HALLANDALE BEACH BLVD
Mailing Address - Street 2:216
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-5301
Mailing Address - Country:US
Mailing Address - Phone:954-457-6615
Mailing Address - Fax:954-456-3632
Practice Address - Street 1:409 W HALLANDALE BEACH BLVD
Practice Address - Street 2:216
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-5301
Practice Address - Country:US
Practice Address - Phone:954-457-6615
Practice Address - Fax:954-456-3632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies