Organization Active NPI

Pony Medical Supply Corp

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1770642886
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
PONY MEDICAL SUPPLY CORP
Practice address
8390 W Flagler St
202
Miami, FL 33144-2039
Phone
(305) 228-1111
Fax
(305) 480-1094
NPI assigned
Dec 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Juan Manzano
Title
President
Phone
(305) 228-1111

Specialties & licenses 1

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

Addresses

Primary practice location

8390 W Flagler St
202
Miami, FL 33144-2039

Mailing address

8390 W Flagler St
202
Miami, FL 33144-2039
Phone (305) 228-1111

National Provider Directory

National Provider Directory

Locations

8390 W Flagler St
Ste 202
Miami, FL 33144
Phone (305) 213-5725

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770642886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-228-1111",
            "fax_number": "305-480-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 W FLAGLER ST",
            "address_2": "202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442039",
            "telephone_number": "305-228-1111",
            "fax_number": "305-480-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONY MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANZANO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-228-1111"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "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 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.