Healthcare Provider Details

I. General information

NPI: 1861479297
Provider Name (Legal Business Name): ROYAL QUALITY MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2005
Last Update Date: 04/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6708 NW 72ND AVE
MIAMI FL
33166-3032
US

IV. Provider business mailing address

6708 NW 72ND AVE
MIAMI FL
33166-3032
US

V. Phone/Fax

Practice location:
  • Phone: 305-884-3715
  • Fax: 305-884-3716
Mailing address:
  • Phone: 305-884-3715
  • Fax: 305-884-3716

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 NumberPH24152
License Number StateFL

VIII. Authorized Official

Name: MARLENE MUGICA
Title or Position: CEO
Credential:
Phone: 305-884-3715