Provider Demographics
NPI:1356360440
Name:B A SON CORPORATION
Entity type:Organization
Organization Name:B A SON CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DENIS
Authorized Official - Middle Name:
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-249-6038
Mailing Address - Street 1:18800 NW 2ND AVE
Mailing Address - Street 2:STE 115AB
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169-4063
Mailing Address - Country:US
Mailing Address - Phone:305-249-6038
Mailing Address - Fax:305-249-6038
Practice Address - Street 1:18800 NW 2ND AVE
Practice Address - Street 2:STE 115AB
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169-4063
Practice Address - Country:US
Practice Address - Phone:305-249-6038
Practice Address - Fax:305-249-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies