Miami Blue Med Supplies Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIAMI BLUE MED SUPPLIES CORP

Practice address

10211 W Sample Rd Ste 117
Coral Springs, FL 33065-3987

Phone

(954) 688-9751

NPI assigned

Oct 1, 2021

Organization subpart

No

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

Authorized official

Name

Julio Perez

Title

Authorized Official

Phone

(954) 688-9751

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1316619992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 W SAMPLE RD STE 117",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653987",
            "telephone_number": "954-688-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 W SAMPLE RD STE 117",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330653987",
            "telephone_number": "954-688-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI BLUE MED SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "JULIO",
        "authorized_official_title_or_position": "AUTHORIZED  OFFICIAL",
        "authorized_official_telephone_number": "954-688-9751"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.