=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386678043
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ZAYAS MEDICAL EQUIPMENT CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5205 NW 74TH AVE SUITE A
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33166-4824
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-406-2522
-----------------------------------------------------
Fax | 305-406-2521
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5205 NW 74TH AVE SUITE A
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33166-4824
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-406-2522
-----------------------------------------------------
Fax | 305-406-2521
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. ANGEL GILBERTO ZAYAS
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-406-2522
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------