| Entity Name: | BELEN MEDICAL SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Oct 2002 (22 years ago) |
| Document Number: | P02000110193 |
| FEI/EIN Number | 161633656 |
| Address: | 4890 N.W. 7 STREET, MIAMI, FL, 33126 |
| Mail Address: | 4890 N.W. 7 STREET, MIAMI, FL, 33126 |
| ZIP code: | 33126 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215972906 | 2006-06-18 | 2009-09-21 | 4890 NW 7TH ST, MIAMI, FL, 331262102, US | 4890 NW 7TH ST, MIAMI, FL, 331262102, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-445-5812 |
| Fax | 3054455819 |
Authorized person
| Name | YANELY AVILA |
| Role | PRESIDENT |
| Phone | 3054455812 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 3203235 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OXYGEN PERMIT |
| Number | 3203235 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | R9459 |
| State | FL |
| Issuer | AHCA |
| Number | 2033 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTINEZ YANELY | Agent | 4890 N.W. 7 STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ YANELY | President | 4890 N.W. 7 STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ YANELY | Vice President | 4890 N.W. 7 STREET, MIAMI, FL, 33126 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ YANELY | Director | 4890 N.W. 7 STREET, MIAMI, FL, 33126 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2011-04-29 | No data | No data |
| AMENDED AND RESTATEDARTICLES | 2004-09-21 | No data | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State
