Organization Active NPI

Mercy Medical Equipment & Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Hialeah, FL
National Provider Identifier
1619871977
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MERCY MEDICAL EQUIPMENT & SUPPLIES LLC
Practice address
558 Hialeah Dr Ste 5
Hialeah, FL 33010-5331
Phone
(305) 290-2672
NPI assigned
Oct 7, 2026
Last updated
Oct 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Authorized official

Name
Raul Baster
Title
Owner
Phone
(305) 290-2672

Specialties & licenses 1

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

Addresses

Primary practice location

558 Hialeah Dr Ste 5
Hialeah, FL 33010-5331

Mailing address

558 Hialeah Dr Ste 5
Hialeah, FL 33010-5331
Phone (305) 290-2672

NPI Registry JSON

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1619871977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 HIALEAH DR STE 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105331",
            "telephone_number": "305-290-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 HIALEAH DR STE 5",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105331",
            "telephone_number": "305-290-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY MEDICAL EQUIPMENT & SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "BASTER",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-290-2672"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.