Organization Active NPI

MJM Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1639827652
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Aug 15, 2022

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.