4851 Medical Services Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

4851 MEDICAL SERVICES CORP.

Practice address

4851 NW 103Rd Ave Ste 45
Sunrise, FL 33351-7989

Phone

(754) 332-2958

NPI assigned

Jul 17, 2019

Last updated

Jun 26, 2020By 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

Gladys Diana Asterino Santa Cruz

Title

Owner

Phone

(754) 332-2958

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1982257002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4851 NW 103RD AVE STE 45",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517989",
            "telephone_number": "754-332-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 NW 103RD AVE STE 45",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517989",
            "telephone_number": "754-332-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4851 MEDICAL SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "ASTERINO SANTA CRUZ",
        "authorized_official_first_name": "GLADYS DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "754-332-2958"
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; 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.