Healthcare Provider Details

I. General information

NPI: 1881663623
Provider Name (Legal Business Name): MINI PRICE PHCY IN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2671 SW 27TH AVE
MIAMI FL
33133-3043
US

IV. Provider business mailing address

2671 SW 27TH AVE
MIAMI FL
33133-3043
US

V. Phone/Fax

Practice location:
  • Phone: 305-445-2886
  • Fax: 305-285-7788
Mailing address:
  • Phone: 305-445-2886
  • Fax: 305-285-7788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUANITA CASTRO
Title or Position: MANAGER
Credential:
Phone: 305-445-2886