Healthcare Provider Details

I. General information

NPI: 1265308324
Provider Name (Legal Business Name): LAS MERCEDES MEDICAL SUPPLIES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7399 NW 74TH ST
MEDLEY FL
33166-2409
US

IV. Provider business mailing address

6355 NW 36TH ST EAST BUILDING, SUITE 1100
VIRGINIA GARDENS FL
33166-7009
US

V. Phone/Fax

Practice location:
  • Phone: 786-401-7301
  • Fax: 786-431-5975
Mailing address:
  • Phone: 786-233-6981
  • Fax: 786-322-2317

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: MR. JORGE RAAD
Title or Position: OWNER
Credential:
Phone: 786-233-6981