Provider Demographics
NPI:1104251107
Name:IZOL RESPIRATORY SERVICES & MEDICAL EQUIPMENT PSC
Entity type:Organization
Organization Name:IZOL RESPIRATORY SERVICES & MEDICAL EQUIPMENT PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSADO ROSADO
Authorized Official - Suffix:
Authorized Official - Credentials:T,R
Authorized Official - Phone:939-242-1820
Mailing Address - Street 1:619 CALLE ASIS
Mailing Address - Street 2:URBANIZACION CIUDAD REAL
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693-3676
Mailing Address - Country:US
Mailing Address - Phone:939-242-1820
Mailing Address - Fax:787-654-9232
Practice Address - Street 1:619 CALLE ASIS
Practice Address - Street 2:URBANIZACION CIUDAD REAL
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3676
Practice Address - Country:US
Practice Address - Phone:939-242-1820
Practice Address - Fax:787-654-9232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty