Healthcare Provider Details

I. General information

NPI: 1063418267
Provider Name (Legal Business Name): A QUALITY MEDICAL SUPPLY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 04/21/2025
Certification Date: 04/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 E 49TH ST
HIALEAH FL
33013-1867
US

IV. Provider business mailing address

455 E 49TH ST
HIALEAH FL
33013-1867
US

V. Phone/Fax

Practice location:
  • Phone: 305-863-9537
  • Fax: 305-863-9676
Mailing address:
  • Phone: 305-863-9537
  • Fax: 305-863-9676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE CLERO
Title or Position: CEO
Credential:
Phone: 305-863-9537