Organization Active NPI

Oms Med 120 Corp

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1053178798
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OMS MED 120 CORP
Practice address
175 Fontainebleau Blvd Ste 2G7
Miami, FL 33172-7012
Phone
(305) 786-1416
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Orlando Mesa Gonzalez
Title
Owner
Phone
(305) 786-1416

Specialties & licenses 1

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

Addresses

Primary practice location

175 Fontainebleau Blvd Ste 2G7
Miami, FL 33172-7012

Mailing address

175 Fontainebleau Blvd Ste 2G7
Miami, FL 33172-7012

National Provider Directory

National Provider Directory

Locations

175 Fountainbleau Blvd
Ste 2G7
Miami, FL 33172
Phone (305) 221-7077

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1053178798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2G7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 FONTAINEBLEAU BLVD STE 2G7",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727012",
            "telephone_number": "305-786-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMS MED 120 CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "MESA GONZALEZ",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-786-1416"
    },
    "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 Feb 29, 2024; 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.