Provider Demographics
NPI:1932776069
Name:RELIANT MEDICAL RESEARCH, LLC
Entity Type:Organization
Organization Name:RELIANT MEDICAL RESEARCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RAMSES
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-801-0912
Mailing Address - Street 1:3720 SW 107TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-3639
Mailing Address - Country:US
Mailing Address - Phone:786-801-0912
Mailing Address - Fax:786-801-0951
Practice Address - Street 1:3720 SW 107TH AVE STE 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165-3639
Practice Address - Country:US
Practice Address - Phone:786-801-0912
Practice Address - Fax:786-801-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1100XAmbulatory Health Care FacilitiesClinic/CenterResearch