MEDICARE: BEST PURE LIFE 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	:	1518685189
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST PURE LIFE CORP

Provider Business Mailing Address
First Line	:	10300 SW 72ND ST STE 184
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3002
Country	:	US
Telephone Number	:	786-435-0175
Fax Number	:	786-435-0177

Provider Business Practice Location Address
First Line	:	10300 SW 72ND ST STE 184
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33173-3002
Country	:	US
Telephone Number	:	786-435-0175
Fax Number	:	786-435-0177

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SAILY YMAS TORRADO
Credential	:
Telephone Number	:	786-435-0175

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	08/24/2022

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Directions to “BEST PURE LIFE CORP ” Practice Location

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