MEDICARE: MAS HME SERVICES AND SUPPLIES CORP

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	:	1093301269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAS HME SERVICES AND SUPPLIES CORP

Provider Business Mailing Address
First Line	:	1275 W 47TH PL STE 332
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3449
Country	:	US
Telephone Number	:	305-882-9180
Fax Number	:	305-351-9168

Provider Business Practice Location Address
First Line	:	1275 W 47TH PL STE 332
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-3449
Country	:	US
Telephone Number	:	305-882-9180
Fax Number	:	305-351-9168

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDRES GONZALEZ
Credential	:
Telephone Number	:	305-882-9140

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	04/13/2022

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