=====================================================
General NPI Number Information
=====================================================
NPI Number | 1053398487
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEALTHY STYLE MEDICAL EQUIPMENT SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/28/2005
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7205 NW 68TH ST SUITE 1
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33166-3016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-885-5522
-----------------------------------------------------
Fax | 305-885-5523
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7205 NW 68TH ST SUITE 1
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33166-3016
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-885-5522
-----------------------------------------------------
Fax | 305-885-5523
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JOANES PEREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-649-3389
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 1312590
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------