Active NPI
Medpro Innovations LLC
- Durable Medical Equipment & Medical Supplies
- Hialeah, FL
National Provider Identifier
1386484053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MEDPRO INNOVATIONS LLC
- Practice address
- 1275 W 47TH PL Ste 427
Hialeah, FL 33012-3453 - Phone
- (305) 404-8998
- NPI assigned
- May 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Carlos A Rodriguez
- Title
- Manager
- Phone
- (786) 763-4852
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1275 W 47TH PL Ste 427
Hialeah, FL 33012-3453
Mailing address
1275 W 47TH PL Ste 427
Hialeah, FL 33012-3453
Phone (305) 404-8998
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250423001787 | FL | DME Supplier - Medical Supply Company | 6406371350 | Practice locations: Hialeah, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Medpro Innovations LLC | Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
1275 W 47th Pl
Ste 427
Hialeah, FL 33012
Phone (305) 404-8998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716940800000",
"number": "1386484053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 W 47TH PL STE 427",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123453",
"telephone_number": "305-404-8998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 W 47TH PL STE 427",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123453",
"telephone_number": "305-404-8998"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDPRO INNOVATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-29",
"last_updated": "2024-05-29",
"certification_date": "2024-05-29",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "786-763-4852",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.