Organization Active NPI

MCC Team Serv Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1790808939
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MCC TEAM SERV INC
Practice address
5755 W Flagler St
206
Miami, FL 33144-3441
Phone
(305) 269-0207
Fax
(305) 269-0208
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Carlos Lago
Title
President
Phone
(305) 269-0207

Specialties & licenses 1

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

Addresses

Primary practice location

5755 W Flagler St
206
Miami, FL 33144-3441

Mailing address

5755 W Flagler St
206
Miami, FL 33144-3441
Phone (305) 269-0207

Other identifiers 2

IdentifierTypeStateIssuer
452914OtherFLJOINT COMMISSION
1313383OtherFLAHCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1790808939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 W FLAGLER ST",
            "address_2": "206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443441",
            "telephone_number": "305-269-0207",
            "fax_number": "305-269-0208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 W FLAGLER ST",
            "address_2": "206",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443441",
            "telephone_number": "305-269-0207",
            "fax_number": "305-269-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCC TEAM SERV INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "LAGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-269-0207"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMMISSION",
            "identifier": "452914",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCA",
            "identifier": "1313383",
            "state": "FL"
        }
    ],
    "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 Apr 15, 2008; 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.