=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831201425
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | G & A MEDICAL EQUIPMENT INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2006
-----------------------------------------------------
Last Update Date | 11/13/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 175 FONTAINEBLEAU BLVD STE 2G
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33172-7018
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-225-6068
-----------------------------------------------------
Fax | 305-225-3099
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 175 FONTAINEBLEAU BLVD STE 2G
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33172-7018
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-225-6068
-----------------------------------------------------
Fax | 305-225-3099
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ENEYDA ALVAREZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-225-6068
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | 321663
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | 381
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------