Organization Active NPI

Lotus Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1326707670
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOTUS MEDICAL SUPPLY LLC
Practice address
777 NW 72ND Ave Ste 2107
Miami, FL 33126-3182
Phone
(786) 263-2078
NPI assigned
Dec 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Yorjandy Garcia Pena
Title
Managing Partner
Phone
(786) 263-2078

Specialties & licenses 1

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

Addresses

Primary practice location

777 NW 72ND Ave Ste 2107
Miami, FL 33126-3182

Mailing address

777 NW 72ND Ave Ste 2107
Miami, FL 33126-3182
Phone (786) 263-2078

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1326707670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 2107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263182",
            "telephone_number": "786-263-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 2107",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263182",
            "telephone_number": "786-263-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-14",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "GARCIA PENA",
        "authorized_official_first_name": "YORJANDY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "786-263-2078"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.