Provider Demographics
NPI:1336192475
Name:MIAMI SPRING MEDICAL SERVICE CORP
Entity Type:Organization
Organization Name:MIAMI SPRING MEDICAL SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARAGOZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-888-2983
Mailing Address - Street 1:4485 NW 36TH ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-7295
Mailing Address - Country:US
Mailing Address - Phone:305-888-2983
Mailing Address - Fax:
Practice Address - Street 1:4485 NW 36TH ST
Practice Address - Street 2:SUITE 4
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-7295
Practice Address - Country:US
Practice Address - Phone:305-888-2983
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5250950001Medicare NSC