Active NPI
Latinos Medical Equipment & Supplies LLC
- Durable Medical Equipment & Medical Supplies
- Milwaukee, WI
National Provider Identifier
1750962916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- LATINOS MEDICAL EQUIPMENT & SUPPLIES LLC
- Practice address
- 3380 S 22ND St
Milwaukee, WI 53215-4806 - Phone
- (414) 719-4513
- NPI assigned
- Apr 19, 2021
- Organization subpart
- Yes
- Parent organization
- LATINOS MEDICAL EQUIPMENT & SUPPLIES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Wanda I Rodriguez, CEO
- Title
- Administrator
- Phone
- (141) 449-9021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
3380 S 22ND St
Milwaukee, WI 53215-4806
Mailing address
3380 S 22ND St
Milwaukee, WI 53215-4806
Phone (414) 719-4513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4147194513 | Medicaid | WI |
Other names 1
- LATINOS MEDICAL EQUIPMENT
National Provider Directory
National Provider Directory- Part of
- Latinos Medical Equipment Supplies LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1618790400000",
"number": "1750962916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3380 S 22ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154806",
"telephone_number": "414-719-4513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3380 S 22ND ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154806",
"telephone_number": "414-719-4513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATINOS MEDICAL EQUIPMENT & SUPPLIES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LATINOS MEDICAL EQUIPMENT & SUPPLIES LLC",
"enumeration_date": "2021-04-19",
"last_updated": "2021-04-19",
"certification_date": "2021-04-19",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "141-449-9021",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CEO"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4147194513",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LATINOS MEDICAL EQUIPMENT",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.