Active NPI
MJM Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Miami, FL
National Provider Identifier
1639827652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- MJM MEDICAL SUPPLY INC
- Practice address
- 2450 SW 137TH Ave Ste 207
Miami, FL 33175-6312 - Phone
- (305) 200-5645
- NPI assigned
- Mar 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Gonzalez Perez
- Title
- President
- Phone
- (305) 200-5645
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2450 SW 137TH Ave Ste 207
Miami, FL 33175-6312
Mailing address
2460 SW 137TH Ave Ste 207
Miami, FL 33175-8803
Phone (305) 200-5645
National Provider Directory
National Provider DirectoryLocations
2460 SW 137th Ave
Ste 207
Miami, FL 33175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660521600000",
"number": "1639827652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 SW 137TH AVE STE 207",
"city": "MIAMI",
"state": "FL",
"postal_code": "331758803",
"telephone_number": "305-200-5645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2450 SW 137TH AVE STE 207",
"city": "MIAMI",
"state": "FL",
"postal_code": "331756312",
"telephone_number": "305-200-5645"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MJM MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-17",
"last_updated": "2022-08-15",
"certification_date": "2022-08-15",
"status": "A",
"authorized_official_last_name": "GONZALEZ PEREZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "305-200-5645"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.