Healthcare Provider Details

I. General information

NPI: 1275561367
Provider Name (Legal Business Name): HERICON MEDICAL SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8454 NW 70 ST
MIAMI FL
33166
US

IV. Provider business mailing address

8454 NW 70 ST
MIAMI FL
33166
US

V. Phone/Fax

Practice location:
  • Phone: 305-717-6844
  • Fax: 305-717-6744
Mailing address:
  • Phone: 305-717-6844
  • Fax: 305-717-6744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1312277
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number3204398
License Number StateFL
# 4
Primary TaxonomyY
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. ABEL LOPEZ
Title or Position: PRESIDENT
Credential:
Phone: 786-413-6517