Provider Demographics
NPI:1972243707
Name:CELSA SERVICES, INC
Entity Type:Organization
Organization Name:CELSA SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RUDIBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:LA O PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-842-3326
Mailing Address - Street 1:13865 S DIXIE HWY STE 305
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33176-7221
Mailing Address - Country:US
Mailing Address - Phone:786-842-3326
Mailing Address - Fax:
Practice Address - Street 1:13865 S DIXIE HWY STE 305
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33176-7221
Practice Address - Country:US
Practice Address - Phone:786-842-3326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-30
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies