Healthcare Provider Details

I. General information

NPI: 1629879705
Provider Name (Legal Business Name): AIDPRO DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2025
Last Update Date: 03/24/2025
Certification Date: 03/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 NW 112TH AVE FL 33172
DORAL FL
33172-5071
US

IV. Provider business mailing address

8458 NW 103RD ST APT 103E
HIALEAH GARDENS FL
33016-4680
US

V. Phone/Fax

Practice location:
  • Phone: 786-873-9048
  • Fax:
Mailing address:
  • Phone: 786-760-2749
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DARGENYS DURAN
Title or Position: OWNER
Credential:
Phone: 786-873-9048