Organization Active NPI

Revamed Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1477669877
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
REVAMED INC
Practice address
5209 NW 74TH Ave
Miami, FL 33166-4800
Phone
(305) 477-8232
Fax
(305) 477-8233
NPI assigned
Aug 21, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Enrique Barrios
Title
President
Phone
(305) 477-8232

Specialties & licenses 1

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

Addresses

Primary practice location

5209 NW 74TH Ave
Miami, FL 33166-4800

Mailing address

5209 NW 74TH Ave
Miami, FL 33166-4800
Phone (305) 477-8232

National Provider Directory

National Provider Directory

Locations

5209 NW 74th Ave
Miami, FL 33166
Phone (305) 477-8232

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477669877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 NW 74TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664800",
            "telephone_number": "305-477-8232",
            "fax_number": "305-477-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 NW 74TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331664800",
            "telephone_number": "305-477-8232",
            "fax_number": "305-477-8233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVAMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRIOS",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-477-8232"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "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.