Sam Medical Supply Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAM MEDICAL SUPPLY CORP.

Practice address

3750 W 16TH Ave
Hialeah, FL 33012-4662

Phone

(786) 313-0046

Fax

(786) 313-0046

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Samuel Neptali Rodriguez

Title

Owner

Phone

(786) 313-0046

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073554259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124662",
            "telephone_number": "786-313-0046",
            "fax_number": "786-313-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124662",
            "telephone_number": "786-313-0046",
            "fax_number": "786-313-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAM MEDICAL SUPPLY CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "NEPTALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-313-0046"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.