MEDICARE: MMM MEDICAL SUPPLIES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1053070557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MMM MEDICAL SUPPLIES

Provider Business Mailing Address
First Line	:	777 NW 72ND AVE STE 2113
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3182
Country	:	US
Telephone Number	:	305-882-9120
Fax Number	:	305-882-9130

Provider Business Practice Location Address
First Line	:	777 NW 72ND AVE STE 2113
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-3182
Country	:	US
Telephone Number	:	305-882-9120
Fax Number	:	305-882-9130

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ALBERTO PEREZ SAINZ
Credential	:
Telephone Number	:	305-882-9120

Provider Enumeration Date	:	12/12/2021
Last Update Date	:	06/26/2022

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Directions to “MMM MEDICAL SUPPLIES ” Practice Location

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