Lidi Medical Supply Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

HME1124 Issued in FL

Legal business name

LIDI MEDICAL SUPPLY INC

Practice address

717 Ponce de Leon Blvd
Suite 321
Coral Gables, FL 33134-2060

Phone

(305) 403-1059

Fax

(305) 403-1060

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Mercedes Martinez

Title

President

Phone

(305) 403-1059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234224000000",
    "number": "1063449148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD",
            "address_2": "SUITE 321",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342060",
            "telephone_number": "305-403-1059",
            "fax_number": "305-403-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD",
            "address_2": "SUITE 321",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342060",
            "telephone_number": "305-403-1059",
            "fax_number": "305-403-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIDI MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2009-02-10",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-403-1059",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "HME1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2009; 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.