Organization Active NPI

Atlantis Care Service Corp

  • Oxygen Equipment & Supplies (DME)
  • Hialeah, FL
National Provider Identifier
1104925973
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
32:04501 Issued in FL
Legal business name
ATLANTIS CARE SERVICE CORP
Practice address
2100 W 76TH St
Suite 306
Hialeah, FL 33016-5539
Phone
(305) 825-8288
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Ivan Montes
Title
President
Phone
(305) 825-8288

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1313126 FL
Oxygen Equipment & Supplies (DME) 332BX2000X 32:04501 FL Primary

Addresses

Primary practice location

2100 W 76TH St
Suite 306
Hialeah, FL 33016-5539

Mailing address

2100 W 76TH St
Suite 306
Hialeah, FL 33016-5539
Phone (305) 825-8288

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1104925973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST",
            "address_2": "SUITE 306",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "305-825-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 W 76TH ST",
            "address_2": "SUITE 306",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165539",
            "telephone_number": "305-825-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS CARE SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MONTES",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-825-8288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1313126",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "32:04501",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 11, 2025; 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.