MEDICARE: TECHNICAL MEDICAL SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1073785770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TECHNICAL MEDICAL SERVICE INC

Provider Business Mailing Address
First Line	:	5580 W 16TH AVE
Second Line	:	SUITE 205
City	:	HIALEAH
State	:	FL
Zip	:	33012-2189
Country	:	US
Telephone Number	:	305-827-0194
Fax Number	:	305-827-0195

Provider Business Practice Location Address
First Line	:	5580 W 16TH AVE
Second Line	:	SUITE 205
City	:	HIALEAH
State	:	FL
Zip	:	33012-2189
Country	:	US
Telephone Number	:	305-827-0194
Fax Number	:	305-827-0195

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RIGOBERTO BENITEZ
Credential	:
Telephone Number	:	305-827-0194

Provider Enumeration Date	:	04/02/2008
Last Update Date	:	09/08/2008

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Directions to “TECHNICAL MEDICAL SERVICE INC ” Practice Location

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