Organization Active NPI

My Community Med Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1003536590
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MY COMMUNITY MED INC
Practice address
777 NW 72ND Ave Ste 3143B
Miami, FL 33126-3190
Phone
(305) 602-7398
NPI assigned
Sep 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Luis Fundora Ascano
Title
President
Phone
(305) 602-7398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

777 NW 72ND Ave Ste 3143B
Miami, FL 33126-3190

Mailing address

777 NW 72ND Ave Ste 3143B
Miami, FL 33126-3190
Phone (305) 602-7398

National Provider Directory

National Provider Directory

Locations

777 NW 72nd Ave
Ste 3143B
Miami, FL 33126
Phone (305) 602-7398

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1003536590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 3143B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263190",
            "telephone_number": "305-602-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 3143B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263190",
            "telephone_number": "305-602-7398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY COMMUNITY MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "FUNDORA ASCANO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-602-7398"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.