=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851438253
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CAJIO MEDICAL EQUIPMENT INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/01/2007
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 NW 79TH ST SUITE 254
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33147-4932
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-477-0432
-----------------------------------------------------
Fax | 305-477-0433
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 NW 79TH ST SUITE 254
-----------------------------------------------------
City | MIAMI
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33147-4932
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-477-0432
-----------------------------------------------------
Fax | 305-477-0433
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT OWNER
-----------------------------------------------------
Name | MISAEL ALAMEDA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 305-477-0432
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | 326408
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------