Active NPI
MCC Team Serv Inc
- Durable Medical Equipment & Medical Supplies
- Miami, FL
National Provider Identifier
1790808939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 452914 | Other | FL | JOINT COMMISSION |
| 1313383 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryNPI 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.