Maverick Supply USA LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAVERICK SUPPLY USA LLC

Practice address

777 NW 72ND Ave Ste 1058
Miami, FL 33126-3175

Phone

(786) 769-4620

NPI assigned

Sep 8, 2025

Organization subpart

No

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

Authorized official

Name

Yordan Cubillas Ulloa

Title

Owner

Phone

(786) 769-4620

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1871474924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 1058",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 NW 72ND AVE STE 1058",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263175",
            "telephone_number": "786-769-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAVERICK SUPPLY USA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "CUBILLAS ULLOA",
        "authorized_official_first_name": "YORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-769-4620"
    },
    "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 Sep 8, 2025; 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.