JCC Medical Rental Corp

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

324345 Issued in FL

Legal business name

JCC MEDICAL RENTAL CORP

Practice address

2510 W 78TH St
Bay I
Hialeah, FL 33016-2705

Phone

(305) 827-0804

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Adalberto R Lara

Title

President

Phone

(305) 827-0804

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1972799385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 W 78TH ST",
            "address_2": "BAY I",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W 78TH ST",
            "address_2": "BAY I",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330162705",
            "telephone_number": "305-827-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCC MEDICAL RENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "LARA",
        "authorized_official_first_name": "ADALBERTO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-827-0804"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "324345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Oxygen Equipment & Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.