Organization Active NPI

Havana Med Supplies, Inc

  • Durable Medical Equipment & Medical Supplies
  • Hialeah, FL
National Provider Identifier
1992716807
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HAVANA MED SUPPLIES, INC
Practice address
4445 W 16TH Ave Ste 600
Hialeah, FL 33012-2960
Phone
(305) 819-1849
Fax
(305) 819-1850
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Diosmel Martinez
Title
President
Phone
(786) 426-4024

Specialties & licenses 1

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

Addresses

Primary practice location

4445 W 16TH Ave Ste 600
Hialeah, FL 33012-2960

Mailing address

4445 W 16TH Ave Ste 600
Hialeah, FL 33012-2960
Phone (305) 819-1849

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1992716807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 600",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122960",
            "telephone_number": "305-819-1849",
            "fax_number": "305-819-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 16TH AVE STE 600",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122960",
            "telephone_number": "305-819-1849",
            "fax_number": "305-819-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVANA MED SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "DIOSMEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-426-4024"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.