Organization Active NPI

St Clara Medical Equipment Corp

  • Durable Medical Equipment & Medical Supplies
  • Hialeah, FL
National Provider Identifier
1043267842
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ST CLARA MEDICAL EQUIPMENT CORP
Practice address
403 West 29 Street
Hialeah, FL 33012
Phone
(305) 863-9507
Fax
(305) 863-9705
NPI assigned
May 27, 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
Mayra Diaz
Title
President
Phone
(305) 863-9507

Specialties & licenses 1

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

Addresses

Primary practice location

403 West 29 Street
Hialeah, FL 33012

Mailing address

403 West 29 Street
Hialeah, FL 33012
Phone (305) 863-9507

National Provider Directory

National Provider Directory

Locations

403 W 29th St
Hialeah, FL 33012
Phone (305) 863-9507

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043267842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WEST 29 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-863-9507",
            "fax_number": "305-863-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WEST 29 STREET",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33012",
            "telephone_number": "305-863-9507",
            "fax_number": "305-863-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST CLARA MEDICAL EQUIPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-863-9507"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, 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.