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NPI Code Detail

MEDICARE: SAN MIGUEL MEDICAL SUPPLIES, INC.

MEDICARE: SAN MIGUEL 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
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1942311691
Entity Type Code : Organization
Provider Name (Legal Business Name) : SAN MIGUEL MEDICAL SUPPLIES, INC.
Provider Business Mailing Address
First Line : 2100 W 76TH ST
Second Line : SUITE 402
City : HIALEAH
State : FL
Zip : 33016-5539
Country : US
Telephone Number : 305-558-7604
Fax Number : 305-558-7605
Provider Business Practice Location Address
First Line : 2100 W 76TH ST
Second Line : SUITE 402
City : HIALEAH
State : FL
Zip : 33016-5539
Country : US
Telephone Number : 305-558-7604
Fax Number : 305-558-7605
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MRS. ONEIDA IGLESIAS
Credential :
Telephone Number : 305-558-7604
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/22/2020

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Directions to “SAN MIGUEL MEDICAL SUPPLIES, INC. ” Practice Location

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