Fresnillo Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FRESNILLO SUPPLIES INC

Practice address

4290 10TH Ave N
Unit 104
Lake Worth, FL 33461-2304

Phone

(561) 964-7474

Fax

(561) 964-7878

NPI assigned

Oct 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Fresnillo

Title

President

Phone

(561) 964-7474

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700967072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 10TH AVE N",
            "address_2": "UNIT 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612304",
            "telephone_number": "561-964-7474",
            "fax_number": "561-964-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 10TH AVE N",
            "address_2": "UNIT 104",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334612304",
            "telephone_number": "561-964-7474",
            "fax_number": "561-964-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNILLO SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRESNILLO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-964-7474"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lake Worth, FL
• Providers in Lake Worth, 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.