Krystal Medical Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0888450002 Issued in FL

Legal business name

KRYSTAL MEDICAL SERVICES

Practice address

7511 NW 73Rd St
104
Miami, FL 33166-2403

Phone

(305) 889-0310

Fax

(305) 889-1168

NPI assigned

Nov 2, 2007

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Maria L Menedez, OWNER

Title

President

Phone

(305) 773-1355

Specialties & licenses 1

Addresses

Other names 1

• same Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maria L Menendez

  • Contractor
  • Miami, FL
  • NPI 1831105709
  NPD (past)

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1962681221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7511 NW 73RD ST",
            "address_2": "104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662403",
            "telephone_number": "305-889-0310",
            "fax_number": "305-889-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7511 NW 73RD ST",
            "address_2": "104",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331662403",
            "telephone_number": "305-889-0310",
            "fax_number": "305-889-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTAL MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "MENEDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-773-1355",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "0888450002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "same",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kyle F Krupa, PT, DPT, CSCS
• Vera Krupnov, DMD
• Krypton Medical LLC
• Krystal Bay Inc
• Krystal Bittar LLC
• Krystle Clear Speech and Language Pathology Services
• Oleksandr N Kryvenko, MD
• Alisha Kshetry
• KSM Behavioral Interventions LLC
• KT Morales Medical Supplies Inc

• 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 Feb 29, 2008; 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.