Organization Active NPI

Corpus Christi Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1477589968
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1312083 Issued in FL
Legal business name
CORPUS CHRISTI MEDICAL SUPPLIES INC
Practice address
215 SW 17TH Ave
Suite 310
Miami, FL 33135-3689
Phone
(305) 649-8271
Fax
(305) 649-6988
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Marina Nieves
Title
President
Phone
(305) 649-8271

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1312083 FL Primary
Oxygen Equipment & Supplies (DME) 332BX2000X 3203663 FL

Addresses

Primary practice location

215 SW 17TH Ave
Suite 310
Miami, FL 33135-3689

Mailing address

215 SW 17TH Ave
Suite 310
Miami, FL 33135-3689
Phone (305) 649-8271

Other identifiers 2

IdentifierTypeStateIssuer
1312083OtherFLAHCA
3203663OtherFLOXYGEN

National Provider Directory

National Provider Directory

Locations

215 SW 17th Ave
Ste 310
Miami, FL 33135
Phone (305) 541-1510

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1477589968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SW 17TH AVE",
            "address_2": "SUITE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353689",
            "telephone_number": "305-649-8271",
            "fax_number": "305-649-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SW 17TH AVE",
            "address_2": "SUITE 310",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353689",
            "telephone_number": "305-649-8271",
            "fax_number": "305-649-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-649-8271"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312083",
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "3203663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "1312083",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXYGEN",
            "identifier": "3203663",
            "state": "FL"
        }
    ],
    "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 Feb 15, 2008; 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.