Organization Active NPI

Promedics Inc

  • Durable Medical Equipment & Medical Supplies
  • Virginia Gardens, FL
National Provider Identifier
1518094341
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
PROMEDICS INC
Practice address
6555 NW 36TH St
Ste 215
Virginia Gardens, FL 33166-6978
Phone
(305) 870-0284
Fax
(305) 870-0284
NPI assigned
Feb 28, 2007
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
Mr. Augusto Gonzalez
Title
President
Phone
(305) 870-0284

Specialties & licenses 1

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

Addresses

Primary practice location

6555 NW 36TH St
Ste 215
Virginia Gardens, FL 33166-6978

Mailing address

6555 NW 36TH St
Ste 215
Virginia Gardens, FL 33166-6978
Phone (305) 870-0284

National Provider Directory

National Provider Directory
Tax ID family
Promedics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6555 NW 36th St
Ste 215
Virginia Gardens, FL 33166
Phone (305) 870-0284

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518094341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 NW 36TH ST",
            "address_2": "STE 215",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666978",
            "telephone_number": "305-870-0284",
            "fax_number": "305-870-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 NW 36TH ST",
            "address_2": "STE 215",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666978",
            "telephone_number": "305-870-0284",
            "fax_number": "305-870-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "AUGUSTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-870-0284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, 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.