Organization Active NPI

Med Star Medical Supplies Corp

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1184703597
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N/A FOR SUPPLIES Issued in FL
Legal business name
MED STAR MEDICAL SUPPLIES CORP
Practice address
12471 SW 130TH St
Suite B16
Miami, FL 33186-6236
Phone
(305) 251-5255
Fax
(305) 251-5057
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Authorized official

Name
Mr. Rainel Hernandez
Title
President
Phone
(305) 251-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N/A FOR SUPPLIES FL Primary

Addresses

Primary practice location

12471 SW 130TH St
Suite B16
Miami, FL 33186-6236

Mailing address

12471 SW 130TH St
Suite B16
Miami, FL 33186-6236
Phone (305) 251-5255

National Provider Directory

National Provider Directory

Locations

12471 SW 130th St
Ste B16
Miami, FL 33186
Phone (305) 251-5255

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1184703597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12471 SW 130TH ST",
            "address_2": "SUITE B16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866236",
            "telephone_number": "305-251-5255",
            "fax_number": "305-251-5057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12471 SW 130TH ST",
            "address_2": "SUITE B16",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866236",
            "telephone_number": "305-251-5255",
            "fax_number": "305-251-5057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED STAR MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "RAINEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-251-5255",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "N/A FOR SUPPLIES",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.