Jeronimo's Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

PENDING Issued in FL

Legal business name

JERONIMO'S MEDICAL SUPPLY, INC.

Practice address

8181 NW 36TH St
Suite 14 Ab
Doral, FL 33166-6671

Phone

(786) 514-6214

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Marilyn Arucanqui

Title

President

Phone

(305) 629-9131

Specialties & licenses 1

Addresses

Tax ID family

Jeronimo's Medical Supply Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jeronimo's Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Doral, FL
  • NPI 1255454161
  NPD tax ID

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992742803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 14 AB",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "305-629-9131",
            "fax_number": "786-337-8990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8181 NW 36TH ST",
            "address_2": "SUITE 14 AB",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666671",
            "telephone_number": "786-514-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERONIMO'S MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ARUCANQUI",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-629-9131"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Doral, FL
• Providers in Doral, 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 Aug 22, 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.