Organization Active NPI

Ymg Group Shine Corp

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1013896091
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
YMG GROUP SHINE CORP
Practice address
15715 S Dixie Hwy Ste 302
Miami, FL 33157-1877
Phone
(786) 713-0791
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Yusniel Gonzalez
Title
President/Authorized Official
Phone
(786) 713-0791

Specialties & licenses 1

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

Addresses

Primary practice location

15715 S Dixie Hwy Ste 302
Miami, FL 33157-1877

Mailing address

15715 S Dixie Hwy Ste 302
Miami, FL 33157-1877
Phone (786) 713-0791

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210000128 FL DME Supplier - Medical Supply Company 9133613953 Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ymg Group Shine Corp15715 S Dixie Hwy, Miami, FL 33157-1877(786) 713-0791 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 16, 2026

National Provider Directory

National Provider Directory

Locations

15715 S Dixie Hwy
Ste 302
Miami, FL 33157
Phone (786) 713-0791

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1013896091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571877",
            "telephone_number": "786-713-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15715 S DIXIE HWY STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331571877",
            "telephone_number": "786-713-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YMG GROUP SHINE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "YUSNIEL",
        "authorized_official_title_or_position": "PRESIDENT/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "786-713-0791"
    },
    "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, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.