MEDICARE: R&N MEDICAL SUPPLIES, 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	2013	FL

General Provider Information

NPI Number	:	1346238144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R&N MEDICAL SUPPLIES, INC.

Provider Business Mailing Address
First Line	:	6595 NW 36TH ST
Second Line	:	SUITE 313
City	:	VIRGINIA GARDENS
State	:	FL
Zip	:	33166-6979
Country	:	US
Telephone Number	:	305-874-5101
Fax Number	:	305-874-5111

Provider Business Practice Location Address
First Line	:	3221 SW 140TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-6756
Country	:	US
Telephone Number	:	305-480-7926
Fax Number	:	305-874-5111

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERTO G MARTINEZ
Credential	:
Telephone Number	:	305-874-5101

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	08/22/2020

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