Organization Active NPI

CCB Medical Equipment, Inc

  • Durable Medical Equipment & Medical Supplies
  • Doral, FL
National Provider Identifier
1144396730
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CCB MEDICAL EQUIPMENT, INC
Practice address
2500 NW 79TH Ave
#280
Doral, FL 33122-1073
Phone
(305) 591-2170
Fax
(305) 591-2171
NPI assigned
Nov 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Mr. Jorge Diaz
Title
Manager
Phone
(305) 591-2170

Specialties & licenses 1

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

Addresses

Primary practice location

2500 NW 79TH Ave
#280
Doral, FL 33122-1073

Mailing address

2500 NW 79TH Ave
#280
Doral, FL 33122-1073
Phone (305) 591-2170

National Provider Directory

National Provider Directory

Locations

2500 NW 79th Ave
Ste 280
Doral, FL 33122
Phone (305) 591-2170

NPI Registry JSON

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1144396730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "#280",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073",
            "telephone_number": "305-591-2170",
            "fax_number": "305-591-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "#280",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073",
            "telephone_number": "305-591-2170",
            "fax_number": "305-591-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCB MEDICAL EQUIPMENT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-27",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-591-2170",
        "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": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.

Verify at the official NPI Registry.