Organization Active NPI

Corey Medical Services, Inc

  • Oxygen Equipment & Supplies (DME)
  • Hialeah, FL
National Provider Identifier
1083759757
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
321878 Issued in FL
Legal business name
COREY MEDICAL SERVICES, INC
Practice address
5080 E 4TH Ave
Suite C
Hialeah, FL 33013-1545
Phone
(305) 822-7989
Fax
(305) 822-5173
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Reinaldo Ibarguengoitia
Title
President
Phone
(305) 822-7989

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 802 FL
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 802 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 321878 FL Primary

Addresses

Primary practice location

5080 E 4TH Ave
Suite C
Hialeah, FL 33013-1545

Mailing address

5080 E 4TH Ave
Suite C
Hialeah, FL 33013-1545
Phone (305) 822-7989

Other identifiers 4

IdentifierTypeStateIssuer
951299300MedicaidFL
6880258 00MedicaidFL
R8829OtherFLBLUE CROSS BLUE SHIELD
802OtherFLHOME MEDICAL EQUIPMENT

National Provider Directory

National Provider Directory

Locations

5080 E 4th Ave
Ste C
Hialeah, FL 33013
Phone (305) 822-7989

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1083759757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 E 4TH AVE",
            "address_2": "SUITE C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131545",
            "telephone_number": "305-822-7989",
            "fax_number": "305-822-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5080 E 4TH AVE",
            "address_2": "SUITE C",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131545",
            "telephone_number": "305-822-7989",
            "fax_number": "305-822-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COREY MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "IBARGUENGOITIA",
        "authorized_official_first_name": "REINALDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-822-7989"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "802",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "802",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "321878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "951299300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6880258 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "R8829",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL EQUIPMENT",
            "identifier": "802",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2008; 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.