MEDICARE: D & S MEDICAL EQUIPMET, 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5635390001	OTHER	FL	DMERC

General Provider Information

NPI Number	:	1528132693
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D & S MEDICAL EQUIPMET, CORP

Provider Business Mailing Address
First Line	:	410 W 29TH ST
Second Line	:	SUITE C
City	:	HIALEAH
State	:	FL
Zip	:	33012-5728
Country	:	US
Telephone Number	:	305-883-9728
Fax Number	:	305-883-9729

Provider Business Practice Location Address
First Line	:	410 W 29TH ST
Second Line	:	SUITE C
City	:	HIALEAH
State	:	FL
Zip	:	33012-5728
Country	:	US
Telephone Number	:	305-883-9728
Fax Number	:	305-883-9729

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MARCOS GUERRA
Credential	:
Telephone Number	:	305-883-9728

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	10/25/2007

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