Doral 25 Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DORAL 25 MEDICAL SUPPLY INC

Practice address

2500 NW 79TH Ave Ste 239
Doral, FL 33122-1086

Phone

(305) 462-8847

NPI assigned

Apr 28, 2022

Last updated

Apr 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yoel Lima Dorta

Title

President

Phone

(305) 462-8847

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1326783952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 239",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "305-462-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 239",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "305-462-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL 25 MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "LIMA DORTA",
        "authorized_official_first_name": "YOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-462-8847"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Antonio Dominguez, CBHCM
• Rigoberto Dominguez
• Talisa Bianca Dominguez
• Yudania Dominguez, PHARM. D.
• Romy Gretel Dorado
• Doral Breast Center, LLC
• Doral Cancer Institute LLC
• Doral Cardiology, Inc.,
• Doral Center for Neuropsych Research LLC
• Doral Center for Sleep Disorder LLC

• Durable Medical Equipment & Medical Supplies in Doral, FL
• Providers in Doral, 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 Apr 28, 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.