Active NPI
Southland Medical Supply, Inc.
- Durable Medical Equipment & Medical Supplies
- Cutler Bay, FL
National Provider Identifier
1396263349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SOUTHLAND MEDICAL SUPPLY, INC.
- Practice address
- 10665 SW 190TH St Ste 3209
Cutler Bay, FL 33157-7654 - Phone
- (786) 732-4653
- NPI assigned
- Aug 30, 2017
- 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
- Javier Perez
- Title
- President
- Phone
- (786) 732-4653
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
10665 SW 190TH St Ste 3209
Cutler Bay, FL 33157-7654
Mailing address
10665 SW 190TH St Ste 3209
Cutler Bay, FL 33157-7654
Phone (786) 732-4653
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1396263349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10665 SW 190TH ST STE 3209",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577654",
"telephone_number": "786-732-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10665 SW 190TH ST STE 3209",
"city": "CUTLER BAY",
"state": "FL",
"postal_code": "331577654",
"telephone_number": "786-732-4653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHLAND MEDICAL SUPPLY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-30",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "JAVIER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-732-4653"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cutler Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.