Tebar Medical Supplies & Equipment, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

AHCA 2087 Issued in FL

Legal business name

TEBAR MEDICAL SUPPLIES & EQUIPMENT, INC.

Practice address

14341 SW 120TH St
Suite 102
Miami, FL 33186-7032

Phone

(305) 382-0510

Fax

(305) 382-0520

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Theresa Barroso

Title

President

Phone

(305) 382-0510

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320969600000",
    "number": "1912945940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14341 SW 120TH ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867032",
            "telephone_number": "305-382-0510",
            "fax_number": "305-382-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14341 SW 120TH ST",
            "address_2": "SUITE 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867032",
            "telephone_number": "305-382-0510",
            "fax_number": "305-382-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEBAR MEDICAL SUPPLIES & EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-11-11",
        "status": "A",
        "authorized_official_last_name": "BARROSO",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-382-0510",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "AHCA 2087",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "332BP3500X",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "OXYGEN 32:03324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026235800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Miami, FL
• Providers in Miami, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2011; 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.