Organization
MAITEL OPTICAL SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS M BUSTOS (MANAGER)
(305) 505-9010
Entity
Organization
Contact information
Practice address
240 E 1ST AVE, STE 109, HIALEAH, FL 33010-4963
(305) 885-9572
(305) 885-9572
Mailing address
240 E 1ST AVE, STE 109, HIALEAH, FL 33010-4963
(305) 885-9572
(305) 885-9572
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/22/2007
Last updated
08/22/2020
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