Sergio Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SERGIO MEDICAL SUPPLY INC

Practice address

215 SW 17TH Ave
Suite 309 a
Miami, FL 33135-3689

Phone

(786) 486-2109

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Darien Hernandez

Title

President

Phone

(786) 486-2109

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780770248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SW 17TH AVE",
            "address_2": "SUITE 309 A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353689",
            "telephone_number": "786-486-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SW 17TH AVE",
            "address_2": "SUITE 309 A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353689",
            "telephone_number": "786-486-2109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DARIEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-486-2109"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.