Organization Active NPI

Miami Orthotic & Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Hialeah, FL
National Provider Identifier
1275127888
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MIAMI ORTHOTIC & MEDICAL SUPPLIES INC
Practice address
2300 W 84TH St Ste 210
Hialeah, FL 33016-5772
Phone
(786) 666-0478
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Daniel Guillen
Title
President
Phone
(786) 666-0478

Specialties & licenses 1

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

Addresses

Primary practice location

2300 W 84TH St Ste 210
Hialeah, FL 33016-5772

Mailing address

2300 W 84TH St Ste 210
Hialeah, FL 33016-5772
Phone (786) 666-0478

Other identifiers 1

IdentifierTypeStateIssuer
3371OtherFLNUMB

National Provider Directory

National Provider Directory

Locations

2300 W 84th St
Ste 210
Hialeah, FL 33016
Phone (786) 666-0478

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1275127888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165772",
            "telephone_number": "786-666-0478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W 84TH ST STE 210",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165772",
            "telephone_number": "786-666-0478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI ORTHOTIC & MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "GUILLEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-666-0478"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NUMB",
            "identifier": "3371",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.