The Blue Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

THE BLUE MEDICAL SUPPLY LLC

Practice address

900 W 49TH St Ste 314
Hialeah, FL 33012-3489

Phone

(305) 392-0370

NPI assigned

Jul 8, 2021

Organization subpart

No

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

Authorized official

Name

Raidel Palacios

Title

MGR

Phone

(305) 392-0370

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644364800000",
    "number": "1922679075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 314",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123489",
            "telephone_number": "305-392-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 314",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123489",
            "telephone_number": "305-392-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BLUE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A",
        "authorized_official_last_name": "PALACIOS",
        "authorized_official_first_name": "RAIDEL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "305-392-0370"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hialeah, FL
• Providers in Hialeah, 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 Feb 9, 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.