Organization Active NPI

Prestige Professional Service Corp

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1386775724
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRESTIGE PROFESSIONAL SERVICE CORP
Practice address
12355 SW 129TH CT
Suite 102
Miami, FL 33186-6406
Phone
(786) 242-9739
NPI assigned
Mar 8, 2007
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
Mr. Yosael Acosta
Title
President
Phone
(786) 970-4119

Specialties & licenses 1

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

Addresses

Primary practice location

12355 SW 129TH CT
Suite 102
Miami, FL 33186-6406

Mailing address

12355 SW 129TH CT
Suite 102
Miami, FL 33186-6406
Phone (786) 242-9739

National Provider Directory

National Provider Directory

Locations

12355 SW 129th Ct
Ste 102
Miami, FL 33186
Phone (786) 242-9739

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386775724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12355 SW 129TH CT",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866406",
            "telephone_number": "786-242-9739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12355 SW 129TH CT",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331866406",
            "telephone_number": "786-242-9739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE PROFESSIONAL SERVICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "YOSAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-970-4119",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "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 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.