Stars J & D Medical Service and Supply .Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

6202550001 Issued in FL

Legal business name

STARS J & D MEDICAL SERVICE AND SUPPLY .INC

Practice address

42 NW 27TH Ave Ste 309-3
Miami, FL 33125-5127

Phone

(305) 644-9965

Fax

(305) 644-9966

NPI assigned

Jan 13, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Jacinto Otero Sr.

Title

Ower/Presidente

Phone

(786) 231-8881

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1518104504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE",
            "address_2": "309-3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255127",
            "telephone_number": "305-644-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 NW 27TH AVE STE 309-3",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331255127",
            "telephone_number": "305-644-9965",
            "fax_number": "305-644-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARS J & D MEDICAL SERVICE AND SUPPLY .INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "JACINTO",
        "authorized_official_title_or_position": "OWER/PRESIDENTE",
        "authorized_official_telephone_number": "786-231-8881",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "6202550001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.