Liberty Pro-Med Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1312493 Issued in FL

Legal business name

LIBERTY PRO-MED INC

Practice address

8167 NW 60TH St
Miami, FL 33166-3414

Phone

(305) 468-8028

Fax

(305) 468-8029

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vicente Diaz

Title

Owner

Phone

(786) 265-0441

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699726307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8167 NW 60TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663414",
            "telephone_number": "305-468-8028",
            "fax_number": "305-468-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8167 NW 60TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331663414",
            "telephone_number": "305-468-8028",
            "fax_number": "305-468-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PRO-MED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "VICENTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-265-0441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "1312493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liberty City Community Health Center, Inc.
• Liberty City Health and Wellness Center
• Liberty Compounding LLC
• Liberty Medical Associates, P.a.
• Liberty Pharmacy
• Libia Casas and Associates
• Libia R Rios DDS PA
• Shai Shabtai Libson
• Marie-Carmelle C Liburd, M.D.
• Nicole Licairac, MSW, MPH

• 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 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.