Organization Active NPI

Mayeta Enterprise Corp.

  • Durable Medical Equipment & Medical Supplies
  • North Miami Beach, FL
National Provider Identifier
1295899011
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAYETA ENTERPRISE CORP.
Practice address
16300 NE 19TH Ave Ste 243
North Miami Beach, FL 33162-4898
Phone
(786) 597-2350
NPI assigned
Dec 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Alexey Hernanadez
Title
President
Phone
(786) 597-2350

Specialties & licenses 1

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

Addresses

Primary practice location

16300 NE 19TH Ave Ste 243
North Miami Beach, FL 33162-4898

Mailing address

16300 NE 19TH Ave Ste 243
North Miami Beach, FL 33162-4898
Phone (786) 597-2350

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295899011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16300 NE 19TH AVE STE 243",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624898",
            "telephone_number": "786-597-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 NE 19TH AVE STE 243",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331624898",
            "telephone_number": "786-597-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYETA ENTERPRISE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANADEZ",
        "authorized_official_first_name": "ALEXEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-597-2350"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

  • 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.