Organization Active NPI

Med Medical Supplies Corp

  • Durable Medical Equipment & Medical Supplies
  • Doral, FL
National Provider Identifier
1013590371
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MED MEDICAL SUPPLIES CORP
Practice address
2500 NW 79TH Ave Ste 223
Doral, FL 33122-1085
Phone
(954) 709-7959
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Guillermo Bello
Title
Authorized Official
Phone
(786) 901-7896

Specialties & licenses 1

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

Addresses

Primary practice location

2500 NW 79TH Ave Ste 223
Doral, FL 33122-1085

Mailing address

2500 NW 79TH Ave Ste 223
Doral, FL 33122-1085
Phone (954) 709-7959

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1013590371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 223",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221085",
            "telephone_number": "954-709-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 223",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221085",
            "telephone_number": "954-709-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-901-7896"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.