MEDICARE: FAYAS MEDICAL EQUIPMENT 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1265577399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAYAS MEDICAL EQUIPMENT INC

Provider Business Mailing Address
First Line	:	2937 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4833
Country	:	US
Telephone Number	:	305-823-7387
Fax Number	:	305-823-7381

Provider Business Practice Location Address
First Line	:	2937 W 12TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33012-4833
Country	:	US
Telephone Number	:	305-823-7387
Fax Number	:	305-823-7381

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ENRIQUE FAYAS
Credential	:
Telephone Number	:	305-823-7387

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	03/22/2010

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