Organization Active NPI

Reliable DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Coral Springs, FL
National Provider Identifier
1053879080
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RELIABLE DME LLC
Practice address
10211 W Sample Rd Ste 201
Coral Springs, FL 33065-3988
Phone
(754) 225-5725
Fax
(754) 225-5726
NPI assigned
Mar 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Authorized official

Name
Giovanni Carrillo
Title
Owner
Phone
(754) 225-5725

Specialties & licenses 1

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

Addresses

Primary practice location

10211 W Sample Rd Ste 201
Coral Springs, FL 33065-3988

Mailing address

10211 W Sample Rd Ste 201
Coral Springs, FL 33065-3988

National Provider Directory

National Provider Directory

Locations

10211 W Sample Rd
Coral Springs, FL 33065
Phone (954) 881-0901

10211 W Sample Rd
Ste 201
Coral Springs, FL 33065
Phone (754) 225-5725

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595808000000",
    "number": "1053879080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 W SAMPLE RD STE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 W SAMPLE RD STE 201",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653988",
            "telephone_number": "754-225-5725",
            "fax_number": "754-225-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIABLE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-08",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A",
        "authorized_official_last_name": "CARRILLO",
        "authorized_official_first_name": "GIOVANNI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-225-5725"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.