Active NPI
Havana Med Supplies, Inc
- Durable Medical Equipment & Medical Supplies
- Hialeah, FL
National Provider Identifier
1992716807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.