Provider Demographics
NPI:1831360114
Name:BETA PROFFESIONAL SERVICES , INC
Entity type:Organization
Organization Name:BETA PROFFESIONAL SERVICES , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFONSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-824-9791
Mailing Address - Street 1:5901 NW 151ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2452
Mailing Address - Country:US
Mailing Address - Phone:305-824-9791
Mailing Address - Fax:305-824-9792
Practice Address - Street 1:5901 NW 151ST ST
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2452
Practice Address - Country:US
Practice Address - Phone:305-824-9791
Practice Address - Fax:305-824-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies