Active NPI
Corey Medical Services, Inc
- Oxygen Equipment & Supplies (DME)
- Hialeah, FL
National Provider Identifier
1083759757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 321878
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 951299300 | Medicaid | FL | |
| 6880258 00 | Medicaid | FL | |
| R8829 | Other | FL | BLUE CROSS BLUE SHIELD |
| 802 | Other | FL | HOME MEDICAL EQUIPMENT |
National Provider Directory
National Provider DirectoryLocations
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.