Provider Demographics
NPI:1780130484
Name:REZPIRA, LLC
Entity type:Organization
Organization Name:REZPIRA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCILA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-494-2707
Mailing Address - Street 1:PO BOX 1071
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1071
Mailing Address - Country:US
Mailing Address - Phone:305-494-2707
Mailing Address - Fax:
Practice Address - Street 1:CC COROZAL SHOPPING VILLAGE
Practice Address - Street 2:CARRETERA 159 KM 27.4
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783
Practice Address - Country:US
Practice Address - Phone:787-884-9062
Practice Address - Fax:888-826-5849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QM1300X, 261QM1300X
FL103973207RC0200X, 207RP1001X, 207R00000X
PR18538207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty