Organization Active NPI

Atlantis Pro Med Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1225020902
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1928 Issued in FL
Legal business name
ATLANTIS PRO MED INC
Practice address
8215 NW 64TH St
Bay 2
Miami, FL 33166-2767
Phone
(877) 477-2764
Fax
(877) 276-5431
NPI assigned
Aug 18, 2005
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. Ricardo Aguera
Title
C.F.O
Phone
(305) 477-5430

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1928 FL Primary
Prosthetic/Orthotic Supplier 335E00000X ORF 122 FL

Addresses

Primary practice location

8215 NW 64TH St
Bay 2
Miami, FL 33166-2767

Mailing address

8215 NW 64TH St
Bay 2
Miami, FL 33166-2767
Phone (877) 477-2764

Other identifiers 1

IdentifierTypeStateIssuer
M2648OtherFLBCBSFL

National Provider Directory

National Provider Directory

Locations

8215 NW 64th St
Unit 2
Miami, FL 33166
Phone (877) 477-2764

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1225020902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 NW 64TH ST",
            "address_2": "BAY 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662767",
            "telephone_number": "877-477-2764",
            "fax_number": "877-276-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8215 NW 64TH ST",
            "address_2": "BAY 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662767",
            "telephone_number": "877-477-2764",
            "fax_number": "877-276-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIS PRO MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AGUERA",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "C.F.O",
        "authorized_official_telephone_number": "305-477-5430",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1928",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "FL",
            "license": "ORF 122",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "M2648",
            "state": "FL"
        }
    ],
    "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 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.