Provider Demographics
NPI:1790248441
Name:BASES TECHNOLOGY, INC
Entity type:Organization
Organization Name:BASES TECHNOLOGY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIZETT
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVA
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:786-237-1483
Mailing Address - Street 1:10794 SW 24TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-2499
Mailing Address - Country:US
Mailing Address - Phone:786-237-1483
Mailing Address - Fax:
Practice Address - Street 1:10794 SW 24TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-2499
Practice Address - Country:US
Practice Address - Phone:786-237-1483
Practice Address - Fax:305-437-8080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-10
Last Update Date:2025-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center