Organization Active NPI

Medical Distribution DLS Corp

  • Durable Medical Equipment & Medical Supplies
  • Pembroke Pines, FL
National Provider Identifier
1245819366
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICAL DISTRIBUTION DLS CORP
Practice address
450 NW 135TH Ter
Pembroke Pines, FL 33028-2257
Phone
(786) 757-0230
NPI assigned
Apr 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Mrs. Yury N Beltran Mendez
Title
President
Phone
(786) 622-3321

Specialties & licenses 1

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

Addresses

Primary practice location

450 NW 135TH Ter
Pembroke Pines, FL 33028-2257

Mailing address

450 NW 135TH Ter
Pembroke Pines, FL 33028-2257
Phone (786) 757-0230

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address santiagoquintero27@hotmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1245819366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 NW 135TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282257",
            "telephone_number": "786-757-0230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW 135TH TER",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282257",
            "telephone_number": "786-757-0230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL DISTRIBUTION DLS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "BELTRAN MENDEZ",
        "authorized_official_first_name": "YURY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-622-3321",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "santiagoquintero27@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "450 NW 135th Ter",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330282257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.