Organization Active NPI

Doral Enterprises

  • Durable Medical Equipment & Medical Supplies
  • Agawam, MA
National Provider Identifier
1972870657
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DORAL ENTERPRISES
Practice address
375 Walnut Street Ext
Agawam, MA 01001-1547
Phone
(413) 789-4327
NPI assigned
Nov 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Mr. Albert Vicedomini
Title
Owner
Phone
(504) 236-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MA Primary

Addresses

Primary practice location

375 Walnut Street Ext
Agawam, MA 01001-1547

Mailing address

9 Kingfisher LN
Suffield, CT 06078-1548

National Provider Directory

National Provider Directory

Locations

375 Walnut Street Ext
Agawam, MA 01001
Phone (413) 789-4327

NPI Registry JSON

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

{
    "created_epoch": "1321920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1972870657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 KINGFISHER LN",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "060781548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 WALNUT STREET EXT",
            "city": "AGAWAM",
            "state": "MA",
            "postal_code": "010011547",
            "telephone_number": "413-789-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORAL ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "VICEDOMINI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-236-5437",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agawam, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.