Provider Demographics
NPI:1972533891
Name:DUBROCK MEDICAL EQUIPMENT, INC
Entity Type:Organization
Organization Name:DUBROCK MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-228-0030
Mailing Address - Street 1:275 FONTAINEBLEAU BLVD
Mailing Address - Street 2:SUITE 143
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-4591
Mailing Address - Country:US
Mailing Address - Phone:305-228-0030
Mailing Address - Fax:305-228-0029
Practice Address - Street 1:275 FONTAINEBLEAU BLVD
Practice Address - Street 2:SUITE 143
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-4591
Practice Address - Country:US
Practice Address - Phone:305-228-0030
Practice Address - Fax:305-228-0029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5764450001Medicare NSC