Provider Demographics
NPI:1164449252
Name:RUSH MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:RUSH MEDICAL EQUIPMENT INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEIDY
Authorized Official - Middle Name:R
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-278-4455
Mailing Address - Street 1:11629 SW 216TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-2908
Mailing Address - Country:US
Mailing Address - Phone:305-278-4455
Mailing Address - Fax:305-278-4456
Practice Address - Street 1:11629 SW 216TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-2908
Practice Address - Country:US
Practice Address - Phone:305-278-4455
Practice Address - Fax:305-278-4456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5221660001Medicare NSC