RR Medco LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RR MEDCO LLC

Doing business as

Health Source Wellness Center

Practice address

100 E Sample Rd
Suite 320
Pompano Beach, FL 33064-3554

Phone

(754) 264-7540

Fax

(754) 222-9389

NPI assigned

Sep 3, 2015

Last updated

Jul 24, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond Di Iulio

Title

Managing Member

Phone

(754) 264-7540

Specialties & licenses 2

Addresses

Other names 1

• Health Source Wellness Center Doing business as

Tax ID family

Health Source Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• RR Medco LLC

  dba Health Source Wellness Center

  • Non-Pharmacy Dispensing Site
  • Pompano Beach, FL
  • NPI 1851762769
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah K. Weiss, RD

  • Registered Dietitian
  • Pompano Beach, FL
  • NPI 1710439245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500854400000",
    "number": "1306214606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD",
            "address_2": "SUITE 320",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "754-264-7540",
            "fax_number": "754-222-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E SAMPLE RD",
            "address_2": "SUITE 320",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330643554",
            "telephone_number": "754-264-7540",
            "fax_number": "754-222-9389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RR MEDCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-03",
        "last_updated": "2017-07-24",
        "status": "A",
        "authorized_official_last_name": "DI IULIO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "754-264-7540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Source Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole N Rowe, MSW
• Joseph Roy
• Royal Living at Pompano Alf Inc
• Royal Palm Beach Rehab Corp (Action Physical Therapy)
• Daniel Rozen, D.M.D
• RR Medco LLC (Health Source Wellness Center)
• RS Surgical
• Melania Renata Rubiano, PMHNP
• Martha L. Rubio, MSW
• Christopher Rud, PARAMEDIC

• Internal Medicine Physician in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.