Provider Demographics
NPI:1841289782
Name:A & S MEDICAL SERVICES, INC.
Entity type:Organization
Organization Name:A & S MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:L
Authorized Official - Last Name:DE ZAYAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-871-1140
Mailing Address - Street 1:6595 NW 36TH ST
Mailing Address - Street 2:#220
Mailing Address - City:VIRGINIA GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6979
Mailing Address - Country:US
Mailing Address - Phone:786-258-1634
Mailing Address - Fax:305-871-1140
Practice Address - Street 1:6595 NW 36TH ST
Practice Address - Street 2:#220
Practice Address - City:VIRGINIA GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33166-6979
Practice Address - Country:US
Practice Address - Phone:786-258-1634
Practice Address - Fax:305-871-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5137559332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4666000001Medicare ID - Type UnspecifiedPROVIDER NUMBER