Active NPI
Miami Durable Medical Equipment, Inc.
- Prosthetic/Orthotic Supplier
- Miami, FL
National Provider Identifier
1922084698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 32
- Legal business name
- MIAMI DURABLE MEDICAL EQUIPMENT, INC.
- Practice address
- 4699 SW 72ND Ave
Miami, FL 33155-4540 - Phone
- (305) 663-6446
- Fax
- (305) 663-5539
- NPI assigned
- Dec 15, 2005
- 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
- Luis Manuel Ramirez
- Title
- President/Ceo
- Phone
- (305) 663-6446
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 32 | FL | |
| Prosthetic/Orthotic Supplier | 335E00000X | 32 | FL | Primary |
Addresses
Primary practice location
4699 SW 72ND Ave
Miami, FL 33155-4540
Mailing address
4699 SW 72ND Ave
Miami, FL 33155-4540
Phone (305) 663-6446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027554900 | Medicaid | FL |
Other names 1
- Restore Orthotics & Prosthetics
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930065307 | FL | DME Supplier - Medical Supply Company | 2961521125 | Practice locations: Miami, FL |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Miami Durable Medical Equipment Inc | Heat & Cold Applications|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compres… | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
4699 SW 72nd Ave
Miami, FL 33155
Phone (305) 663-6446
Networks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696464000000",
"number": "1922084698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4699 SW 72ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554540",
"telephone_number": "305-663-6446",
"fax_number": "305-663-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4699 SW 72ND AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331554540",
"telephone_number": "305-663-6446",
"fax_number": "305-663-5539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIAMI DURABLE MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-15",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A",
"authorized_official_last_name": "RAMIREZ",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "MANUEL",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "305-663-6446"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "32",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "32",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "027554900",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Restore Orthotics & Prosthetics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Restore Orthotics & Prosthetics",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.