Jeronimo's Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2005-6212 Issued in FL

Legal business name

JERONIMO'S MEDICAL SUPPLY INC

Practice address

8181 NW 36TH St # 14 Ab
Doral, FL 33166-6671

Phone

(305) 482-0255

Fax

(305) 482-0254

NPI assigned

Apr 6, 2007

Organization subpart

No

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

Authorized official

Name

Rolando S Gomez

Title

President

Phone

(305) 482-0254

Specialties & licenses 1

Addresses

Tax ID family

Jeronimo's Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeronimo's Medical Supply, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Doral, FL
  • NPI 1992742803
  NPD tax ID

Locations

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255454161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST # 14 AB",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-482-0255",
            "fax_number": "305-482-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST # 14 AB",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-482-0255",
            "fax_number": "305-482-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERONIMO'S MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-482-0254"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "2005-6212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claunise Jean-Louis
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• Dionne Jenkins
• Jeo Medical Supplies, Inc.
• Jeos Partners Inc
• Jeronimo's Medical Supply, Inc.
• Jeshua Rafa Home Health Service Inc
• Jespez Equipment & Supplies, Inc.
• Jessica Jetter
• Stephanie Jewett

• Durable Medical Equipment & Medical Supplies in Doral, FL
• Providers in Doral, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.