Organization Name: | GIJE MEDICAL SUPPLY, INC |
NPI Number: | 1114116282 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARGARIA VASQUEZ (PRESIDENT) |
Mailing Address: | 351 Nw 42nd Ave Suite 102 Miami |
State: | FL US |
Postal Code: | 331265683 |
Phone Number: | 3055412699 |
Fax Number: | 3055412905 |
NPI Enumeration Date: | 10/15/2007 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |