Provider Demographics
NPI:1023120417
Name:KELLYS MEDICAL SERVICES INS
Entity type:Organization
Organization Name:KELLYS MEDICAL SERVICES INS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:EMILIO
Authorized Official - Last Name:ALMENTEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-229-3883
Mailing Address - Street 1:11398 W FLAGLER ST STE 202
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1158
Mailing Address - Country:US
Mailing Address - Phone:305-229-3883
Mailing Address - Fax:305-229-3885
Practice Address - Street 1:11398 W FLAGLER ST STE 202
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1158
Practice Address - Country:US
Practice Address - Phone:305-229-3883
Practice Address - Fax:305-229-3885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies