Active NPI
Direct Medical Equipment, Inc
- Oxygen Equipment & Supplies (DME)
- Gurabo, PR
National Provider Identifier
1891748166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- DIRECT MEDICAL EQUIPMENT, INC
- Practice address
- Carr. 189 KM 3.1
Bo. Rincon
Gurabo, PR 00778 - Phone
- (787) 703-2450
- Fax
- (787) 703-2420
- NPI assigned
- May 18, 2006
- 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
- Gregory Lica
- Title
- President
- Phone
- (954) 581-4141
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | Primary |
Addresses
Primary practice location
Carr. 189 KM 3.1
Bo. Rincon
Gurabo, PR 00778
Mailing address
3300 SW 46TH Ave
Davie, FL 33314-2215
Phone (954) 581-4141
Other names 1
- ONE SOURCE MEDICAL SUPPLY
National Provider Directory
National Provider DirectoryLocations
3300 SW 46th Ave
Davie, FL 33314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1891748166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 SW 46TH AVE",
"city": "DAVIE",
"state": "FL",
"postal_code": "333142215",
"telephone_number": "954-581-4141",
"fax_number": "954-797-2633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 189 KM 3.1",
"address_2": "BO. RINCON",
"city": "GURABO",
"state": "PR",
"postal_code": "00778",
"telephone_number": "787-703-2450",
"fax_number": "787-703-2420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT MEDICAL EQUIPMENT, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "LICA",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-581-4141"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ONE SOURCE MEDICAL SUPPLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.