Organization
BLUE RIVER COMMERCIAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASIEL MORELL MANZARRAGA (AUTHORIZED OFFICIAL)
(305) 627-3161
Entity
Organization
Contact information
Practice address
1400 NE MIAMI GARDENS DR STE 206B, NORTH MIAMI BEACH, FL 33179-4840
(305) 627-3161
Mailing address
1400 NE MIAMI GARDENS DR STE 206B, NORTH MIAMI BEACH, FL 33179-4840
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/25/2024
Last updated
05/28/2025
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