Organization Active NPI

Reliable Medical Services LLC

  • Clinic/Center
  • North Lauderdale, FL
National Provider Identifier
1881093367
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
ACN 337 Issued in FL
Legal business name
RELIABLE MEDICAL SERVICES LLC
Practice address
1597 S State Road 7
North Lauderdale, FL 33068-4603
Phone
(754) 205-2374
Fax
(754) 205-7523
NPI assigned
Aug 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Dr. Rodrigo Vivas, MDNPI 1578598900
Title
Ceo
Phone
(787) 461-7627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X ACN 337 FL Primary

Addresses

Primary practice location

1597 S State Road 7
North Lauderdale, FL 33068-4603

Mailing address

1835 Chatham Village Dr
Fleming Island, FL 32003-8382
Phone (904) 616-9916

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201001916 FL Part B Supplier - Clinic/Group Practice 6608176433 Receives reassigned benefits from 2 practitioners
Practice locations: North Lauderdale, FL

National Provider Directory

National Provider Directory

Locations

1597 S State Road 7
North Lauderdale, FL 33068
Phone (754) 205-2374

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1881093367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CHATHAM VILLAGE DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320038382",
            "telephone_number": "904-616-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1597 S STATE ROAD 7",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330684603",
            "telephone_number": "754-205-2374",
            "fax_number": "754-205-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-20",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "VIVAS",
        "authorized_official_first_name": "RODRIGO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "787-461-7627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ACN 337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.