Organization
COREY MEDICAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINALDO IBARGUENGOITIA (PRESIDENT)
(305) 822-7989
Entity
Organization
Contact information
Practice address
5080 E 4TH AVE, SUITE C, HIALEAH, FL 33013-1545
(305) 822-7989
(305) 822-5173
Mailing address
5080 E 4TH AVE, SUITE C, HIALEAH, FL 33013-1545
(305) 822-7989
(305) 822-5173
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
802
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
802
FL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
321878
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6880258 00
—
FL
01
—
802
HOME MEDICAL EQUIPMENT
FL
05
—
951299300
—
FL
01
—
R8829
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/21/2007
Last updated
07/21/2008
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