Organization Active NPI

Miami Durable Medical Equipment, Inc.

  • Prosthetic/Orthotic Supplier
  • Miami, FL
National Provider Identifier
1922084698
Registry record updated Oct 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
32 Issued in FL
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

Updated by the provider on Oct 5, 2023

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
027554900MedicaidFL

Other names 1

  • Restore Orthotics & Prosthetics Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065307 FL DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Orthotic Personnel 2961521125 Practice locations: Miami, FL

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Miami Durable Medical Equipment Inc4699 SW 72ND Ave, Miami, FL 33155-4540(305) 663-6446 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 assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

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"
        }
    ]
}

Other providers in Miami, FL

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.

Verify at the official NPI Registry.