Organization Active NPI

Ca Medical Supply USA Inc

  • Durable Medical Equipment & Medical Supplies
  • Tampa, FL
National Provider Identifier
1093431215
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CA MEDICAL SUPPLY USA INC
Practice address
3825 Henderson Blvd Ste 402
Tampa, FL 33629-5012
Phone
(813) 574-7570
Fax
(813) 574-7715
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Mr. Sergio Chirino Acosta
Title
President
Phone
(305) 879-2914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3825 Henderson Blvd Ste 402
Tampa, FL 33629-5012

Mailing address

3825 Henderson Blvd Ste 402
Tampa, FL 33629-5012
Phone (813) 574-7570

Other names 1

  • CA Mdeical Supply USA.inc Former legal business name

National Provider Directory

National Provider Directory

Locations

3825 Henderson Blvd
Ste 402
Tampa, FL 33629
Phone (813) 574-7570

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1093431215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 402",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295012",
            "telephone_number": "813-574-7570",
            "fax_number": "813-574-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 402",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295012",
            "telephone_number": "813-574-7570",
            "fax_number": "813-574-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA MEDICAL SUPPLY USA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "CHIRINO ACOSTA",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-879-2914",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CA Mdeical Supply USA.inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "CA Mdeical Supply USA.inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.