Blue River Commercial Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

BLUE RIVER COMMERCIAL INC

Practice address

1400 NE Miami Gardens Dr Ste 206B
North Miami Beach, FL 33179-4840

Phone

(305) 627-3161

NPI assigned

Jan 25, 2024

Organization subpart

No

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

Authorized official

Name

Yasiel Morell Manzarraga

Title

Authorized Official

Phone

(305) 627-3161

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1295597193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR STE 206B",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 NE MIAMI GARDENS DR STE 206B",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794840",
            "telephone_number": "305-627-3161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIVER COMMERCIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "MORELL MANZARRAGA",
        "authorized_official_first_name": "YASIEL",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-627-3161"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Scott Bleicher, D.O., MPH
• Bless Medical Center of NMB LLC
• Blessing Alf, LLC
• Sheva Blobstein, MS CCC-SLP
• Barbara Desamours Blot, LM CPM
• Elizabeth Bocanegra, APRN, NP-C, RN
• Nechama Bodkins, BCBA
• Leslie Boilini, CNM, NP
• Gerald Boley Jr., MD
• Bonaventure Health Services Inc

• Durable Medical Equipment & Medical Supplies in North Miami Beach, FL
• Providers in North Miami Beach, 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 May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.