Provena Medequip LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PROVENA MEDEQUIP LLC

Practice address

10251 SW 72ND St Ste 106
Miami, FL 33173-2957

Phone

(305) 602-5525

Fax

(305) 428-3680

NPI assigned

Oct 31, 2024

Organization subpart

No

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

Authorized official

Name

Hector Fernandez

Title

Administrator

Phone

(305) 602-5525

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aquiles Javier Garcia-Menocal, AG-ACNP

  • Acute Care Nurse Practitioner
  • Miami, FL
  • NPI 1679016992
  NPD

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1598587339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-602-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 SW 72ND ST STE 106",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331732957",
            "telephone_number": "305-602-5525",
            "fax_number": "305-428-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVENA MEDEQUIP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-31",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-602-5525"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Alexandra Prough, DO
• Richard Lawrence Proulx, RN, MSN, ARNP
• Ismara Yanet Provance Rojas
• Provectus Health LLC
• Provena Care LLC
• Providence Community Center LLC
• Providence Healthcare
• Providence Healthcare Services, Inc.
• Providence Healthcare Services, Inc.
• Providence Homecare LLC

• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, 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 Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.