Organization Active NPI

Soul Medical, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1023055480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312971 Issued in FL
Legal business name
SOUL MEDICAL, INC.
Practice address
1330 SW 22ND St
307
Miami, FL 33145-2929
Phone
(305) 854-2727
Fax
(305) 854-2757
NPI assigned
Jun 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roberto Perez
Title
President
Phone
(305) 854-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312971 FL Primary

Addresses

Primary practice location

1330 SW 22ND St
307
Miami, FL 33145-2929

Mailing address

1330 SW 22ND St
307
Miami, FL 33145-2929
Phone (305) 854-2727

National Provider Directory

National Provider Directory
Tax ID family
Soul Medical Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023055480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SW 22ND ST",
            "address_2": "307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452929",
            "telephone_number": "305-854-2727",
            "fax_number": "305-854-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SW 22ND ST",
            "address_2": "307",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452929",
            "telephone_number": "305-854-2727",
            "fax_number": "305-854-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-854-2727"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312971",
            "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 Aug 22, 2020; 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.