MEDICARE: ANGELA IZAGUIRRE MEDICAL SUPPLY LLC

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	:	1457232712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELA IZAGUIRRE MEDICAL SUPPLY LLC

Provider Business Mailing Address
First Line	:	751 GRACE AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-3748
Country	:	US
Telephone Number	:	678-566-1677
Fax Number	:

Provider Business Practice Location Address
First Line	:	751 GRACE AVE
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44320-3748
Country	:	US
Telephone Number	:	678-566-1677
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANGELA K IZAGUIRRE
Credential	:
Telephone Number	:	678-566-1677

Provider Enumeration Date	:	09/11/2025
Last Update Date	:	09/11/2025

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