Times Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TIMES MEDICAL SUPPLY CORP

Practice address

455 W 23Rd St Unit 8
Hialeah, FL 33010-1415

Phone

(786) 747-4961

NPI assigned

Sep 3, 2020

Organization subpart

No

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

Authorized official

Name

Andres Acosta

Title

President

Phone

(786) 747-4961

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1841804119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 W 23RD ST UNIT 8",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101415",
            "telephone_number": "786-747-4961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 W 23RD ST UNIT 8",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101415",
            "telephone_number": "786-747-4961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMES MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-747-4961"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Yahoo",
            "affiliation": "N",
            "address_1": "455 W 23rd St Unit 8",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330101415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Yahoo",
            "affiliation": "N",
            "address_1": "455 W 23rd St Unit 8",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330101415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hialeah, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.