Organization Active NPI

Matuk Medical Equipment Corp

  • Durable Medical Equipment & Medical Supplies
  • Doral, FL
National Provider Identifier
1376597039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312964 Issued in FL
Legal business name
MATUK MEDICAL EQUIPMENT CORP
Practice address
2500 NW 79TH Ave
Suite 211
Doral, FL 33122-1071
Phone
(305) 591-0924
Fax
(305) 591-0934
NPI assigned
May 19, 2006
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
Georgina Torres Jorge
Title
President
Phone
(305) 591-0924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312964 FL Primary

Addresses

Primary practice location

2500 NW 79TH Ave
Suite 211
Doral, FL 33122-1071

Mailing address

2500 NW 79TH Ave
Suite 211
Doral, FL 33122-1071
Phone (305) 591-0924

Other identifiers 1

IdentifierTypeStateIssuer
1312964OtherFLLICENSE NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376597039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "SUITE 211",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221071",
            "telephone_number": "305-591-0924",
            "fax_number": "305-591-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "SUITE 211",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221071",
            "telephone_number": "305-591-0924",
            "fax_number": "305-591-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATUK MEDICAL EQUIPMENT CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "GEORGINA",
        "authorized_official_middle_name": "TORRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-591-0924"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "1312964",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, 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.