Organization Active NPI

Vital Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Miami, FL
National Provider Identifier
1801350103
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VITAL MEDICAL SUPPLY INC
Practice address
2711 SW 137TH Ave Ste 94
Miami, FL 33175-6361
Phone
(305) 915-6781
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Debora Cota
Title
President
Phone
(305) 915-6781

Specialties & licenses 1

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

Addresses

Primary practice location

2711 SW 137TH Ave Ste 94
Miami, FL 33175-6361

Mailing address

2711 SW 137TH Ave Ste 94
Miami, FL 33175-6361
Phone (305) 915-6781

Other names 1

  • VITAL MEDICAL SUPPLY INC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1801350103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE STE 94",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756361",
            "telephone_number": "305-915-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SW 137TH AVE STE 94",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331756361",
            "telephone_number": "305-915-6781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "COTA",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-915-6781"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VITAL MEDICAL SUPPLY INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 31, 2019; 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.