Organization Active NPI

Adult Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Fort Myers, FL
National Provider Identifier
1891435830
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADULT MEDICAL SUPPLY INC
Practice address
2180 W First St Ste 210
Fort Myers, FL 33901-3217
Phone
(239) 689-5167
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Marlon M Quintero Perigo
Title
President
Phone
(239) 689-5167

Specialties & licenses 1

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

Addresses

Primary practice location

2180 W First St Ste 210
Fort Myers, FL 33901-3217

Mailing address

2180 W First St Ste 210
Fort Myers, FL 33901-3217
Phone (239) 689-5167

National Provider Directory

National Provider Directory

Locations

2180 W First St
Ste 210
Fort Myers, FL 33901
Phone (239) 689-5167

NPI Registry JSON

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

{
    "created_epoch": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1891435830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 W FIRST ST STE 210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013217",
            "telephone_number": "239-689-5167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 W FIRST ST STE 210",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013217",
            "telephone_number": "239-689-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "QUINTERO PERIGO",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-689-5167"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.