Active NPI
Hernandez Medical Supply
- Durable Medical Equipment & Medical Supplies
- Miami Lakes, FL
National Provider Identifier
1053590745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HERNANDEZ MEDICAL SUPPLY
- Practice address
- 14505 Commerce Way
Suite 426
Miami Lakes, FL 33016-1597 - Phone
- (305) 558-7978
- NPI assigned
- Oct 30, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Hernandez
- Title
- President
- Phone
- (305) 558-7978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14505 Commerce Way
Suite 426
Miami Lakes, FL 33016-1597
Mailing address
14505 Commerce Way
Suite 426
Miami Lakes, FL 33016-1597
National Provider Directory
National Provider DirectoryLocations
14505 Commerce Way
Ste 426
Miami Lakes, FL 33016
Phone (305) 557-5537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193702400000",
"number": "1053590745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14505 COMMERCE WAY",
"address_2": "SUITE 426",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14505 COMMERCE WAY",
"address_2": "SUITE 426",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330161597",
"telephone_number": "305-558-7978"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERNANDEZ MEDICAL SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-30",
"last_updated": "2007-10-30",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-558-7978"
},
"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 Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.