Organization Active NPI

Latin Medical Supply Inc

  • Specialty Pharmacy
  • Hialeah, FL
National Provider Identifier
1063477784
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PH22896 Issued in FL
Legal business name
LATIN MEDICAL SUPPLY INC
Practice address
240 E 1St Ave
Ste 124
Hialeah, FL 33010-4963
Phone
(305) 885-4214
Fax
(305) 885-4215
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Jose E Beceiro
Title
President
Phone
(305) 885-4214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X FL
Specialty Pharmacy 3336S0011X PH22896 FL Primary

Addresses

Primary practice location

240 E 1St Ave
Ste 124
Hialeah, FL 33010-4963

Mailing address

240 E 1St Ave
Ste 124
Hialeah, FL 33010-4963
Phone (305) 885-4214

Other identifiers 3

IdentifierTypeStateIssuer
1029645OtherFLNCPDP DME NUMBER
000925000MedicaidFL
PH22895OtherFLPHARMACY LLICENSE

Other names 1

  • dba/ latin pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

240 E 1st Ave
Ste 124
Hialeah, FL 33010
Phone (305) 885-4214

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": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063477784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E 1ST AVE",
            "address_2": "STE 124",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104963",
            "telephone_number": "305-885-4214",
            "fax_number": "305-885-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E 1ST AVE",
            "address_2": "STE 124",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330104963",
            "telephone_number": "305-885-4214",
            "fax_number": "305-885-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATIN MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BECEIRO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-885-4214"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "FL",
            "license": "PH22896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP DME NUMBER",
            "identifier": "1029645",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000925000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LLICENSE",
            "identifier": "PH22895",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba/ latin pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.