Miracle Medical Industries Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIRACLE MEDICAL INDUSTRIES INC

Doing business as

Appemed Medical Supplies

Practice address

425 W la Cadena Dr Ste 6
Riverside, CA 92501-1230

Phone

(909) 697-8901

Fax

(909) 608-7204

NPI assigned

Jan 7, 2025

Last updated

Jan 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wael Anwar

Title

Cfo/Managing Director

Phone

(909) 697-8901

Specialties & licenses 1

Addresses

Other names 1

• Appemed Medical Supplies Doing business as

Locations

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1144039777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W LA CADENA DR STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011230",
            "telephone_number": "909-697-8901",
            "fax_number": "909-608-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 W LA CADENA DR STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925011230",
            "telephone_number": "909-697-8901",
            "fax_number": "909-608-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLE MEDICAL INDUSTRIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "ANWAR",
        "authorized_official_first_name": "WAEL",
        "authorized_official_title_or_position": "CFO/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "909-697-8901"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Appemed Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luauna Elaine Minten, NP
• Kurt Mintlow, MD
• Sanford B Mintz, PHD
• Micaela F Miotto-Otsuki, M.D.
• Isabel Mira
• Andrea Miracle
• Mauro Miramontes III
• Alice Elizabeth Miranda, SLPA
• Allan Miranda
• Anita Miranda, MD

• Durable Medical Equipment & Medical Supplies in Riverside, CA
• Providers in Riverside, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.