Healthcare Provider Details

I. General information

NPI: 1003844036
Provider Name (Legal Business Name): Y&L DME AND SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 08/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5540 SW 8TH ST
CORAL GABLES FL
33134-2220
US

IV. Provider business mailing address

5540 SW 8TH ST
CORAL GABLES FL
33134-2220
US

V. Phone/Fax

Practice location:
  • Phone: 305-447-9955
  • Fax: 305-441-9050
Mailing address:
  • Phone: 305-447-9955
  • Fax: 305-441-9050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH21805
License Number StateFL

VIII. Authorized Official

Name: ARNALDO M. RODRIQUEZ
Title or Position: DIRECTOR
Credential:
Phone: 305-447-9955