Eexecutive Medical Supply, Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EEXECUTIVE MEDICAL SUPPLY, CORP.

Practice address

1790 W 49TH St
Ste 305-9
Hialeah, FL 33012-2992

Phone

(305) 512-6090

Fax

(305) 512-6091

NPI assigned

Oct 18, 2007

Last updated

May 2, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jose Hernandez Guevara

Title

President

Phone

(305) 512-6090

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1578752168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 W 49TH ST",
            "address_2": "STE 305-9",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122992",
            "telephone_number": "305-512-6090",
            "fax_number": "305-512-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 W 49TH ST",
            "address_2": "STE 305-9",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122992",
            "telephone_number": "305-512-6090",
            "fax_number": "305-512-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EEXECUTIVE MEDICAL SUPPLY, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ GUEVARA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-512-6090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.