Healthcare Provider Details

I. General information

NPI: 1104804830
Provider Name (Legal Business Name): HEALTH MEDICAL EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 11/02/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2694 SW 87TH AVE
MIAMI FL
33165-2000
US

IV. Provider business mailing address

2694 SW 87TH AVE
MIAMI FL
33165-2000
US

V. Phone/Fax

Practice location:
  • Phone: 305-223-7222
  • Fax: 305-223-6122
Mailing address:
  • Phone: 305-223-7222
  • Fax: 305-223-6122

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 Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number642
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number642
License Number StateFL

VIII. Authorized Official

Name: MRS. IVONNE GONZALEZ
Title or Position: PRESIDENT
Credential:
Phone: 305-223-7222