Stefa Medical Supply Corp

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

STEFA MEDICAL SUPPLY CORP

Practice address

4235 W 16TH Ave
203
Hialeah, FL 33012-7621

Phone

(305) 262-5834

Fax

(305) 262-5854

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Miss Mirly Rivera

Title

President

Phone

(305) 262-5834

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093874018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 W 16TH AVE",
            "address_2": "203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127621",
            "telephone_number": "305-262-5834",
            "fax_number": "305-262-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 W 16TH AVE",
            "address_2": "203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127621",
            "telephone_number": "305-262-5834",
            "fax_number": "305-262-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEFA MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MIRLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-262-5834",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Oxygen Equipment & Supplies (DME) 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.