Watson Avenue Dura Med

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

WATSON AVENUE DURA MED

Practice address

10112 NW 53Rd St
Sunrise, FL 33351-8020

Phone

(954) 742-8640

Fax

(954) 742-8649

NPI assigned

Jun 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Pelayo Mendez

Title

Owner

Phone

(305) 898-0777

Specialties & licenses 1

Addresses

Other names 1

• DME ON WHEELS Doing business as

Locations

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1295938355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10112 NW 53RD ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333518020",
            "telephone_number": "954-742-8640",
            "fax_number": "954-742-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10112 NW 53RD ST",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333518020",
            "telephone_number": "954-742-8640",
            "fax_number": "954-742-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATSON AVENUE DURA MED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "PELAYO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-898-0777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DME ON WHEELS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerome Washington, L.M.H.C.
• Luz Waterston
• Corey Grace Watford
• Raquel Watkins
• Wendy Watkins
• Katrina H. Watson, CRNA
• Richard Lee Wayne, MD
• We DO Care Health Plans, LLC
• Octavia Webb
• Alicia Kay Weeks, APRN FNP-BC

• Oxygen Equipment & Supplies (DME) in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.