Healthcare Provider Details

I. General information

NPI: 1255363479
Provider Name (Legal Business Name): SST MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 NW 7TH ST
MIAMI FL
33125
US

IV. Provider business mailing address

3130 NW 7TH ST
MIAMI FL
33125
US

V. Phone/Fax

Practice location:
  • Phone: 305-644-3446
  • Fax: 305-644-9282
Mailing address:
  • Phone: 305-644-3446
  • Fax: 305-644-9282

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 Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH17980
License Number StateFL

VIII. Authorized Official

Name: MS. VICENTA S TELLECHEA
Title or Position: PRESIDENT
Credential:
Phone: 305-644-3446