MEDICARE: BELEN MEDICAL SERVICES INC

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	332BX2000X	Oxygen Equipment & Supplies (DME)	3203235	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3203235	OTHER	FL	OXYGEN PERMIT
2	R9459	OTHER	FL	BLUE CROSS BLUE SHIELD
3	2033	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1215972906
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELEN MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	4890 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2102
Country	:	US
Telephone Number	:	305-445-5812
Fax Number	:	305-445-5819

Provider Business Practice Location Address
First Line	:	4890 NW 7TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2102
Country	:	US
Telephone Number	:	305-445-5812
Fax Number	:	305-445-5819

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YANELY AVILA
Credential	:
Telephone Number	:	305-445-5812

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	09/21/2009

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Directions to “BELEN MEDICAL SERVICES INC ” Practice Location

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