Organization Active NPI

Century Diabetic Supply, Inc

  • Durable Medical Equipment & Medical Supplies
  • North Miami, FL
National Provider Identifier
1679588099
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTURY DIABETIC SUPPLY, INC
Practice address
1100 NE 125TH St
Suite 103
North Miami, FL 33161-5044
Phone
(305) 981-1066
Fax
(305) 981-1064
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Pierre E Rutledge
Title
President
Phone
(305) 519-6484

Specialties & licenses 1

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

Addresses

Primary practice location

1100 NE 125TH St
Suite 103
North Miami, FL 33161-5044

Mailing address

1100 NE 125TH St
Suite 103
North Miami, FL 33161-5044
Phone (305) 981-1066

National Provider Directory

National Provider Directory

Locations

1100 NE 125th St
Ste 103
North Miami, FL 33161
Phone (305) 981-1066

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679588099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NE 125TH ST",
            "address_2": "SUITE 103",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615044",
            "telephone_number": "305-981-1066",
            "fax_number": "305-981-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NE 125TH ST",
            "address_2": "SUITE 103",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615044",
            "telephone_number": "305-981-1066",
            "fax_number": "305-981-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTURY DIABETIC SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-519-6484",
        "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": []
}

Other providers in North Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.