Organization
ENRIACE MEDICAL SUPPLY CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUL LOPEZ (PRESIDENT)
(786) 413-4786
Entity
Organization
Contact information
Practice address
175 FONTAINEBLEAU BLVD, SUITE 1N-2, MIAMI, FL 33172-7018
(786) 413-4786
Mailing address
175 FONTAINEBLEAU BLVD, SUITE 1N-2, MIAMI, FL 33172-7018
(786) 413-4786
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/21/2006
Last updated
08/22/2020
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