MEDICARE: SERTA COMPLETE 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	:	1174275291
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERTA COMPLETE INC

Provider Business Mailing Address
First Line	:	9010 SW 137TH AVE STE 219
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1438
Country	:	US
Telephone Number	:	786-558-5591
Fax Number	:

Provider Business Practice Location Address
First Line	:	9010 SW 137TH AVE STE 219
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-1438
Country	:	US
Telephone Number	:	786-558-5591
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PEDRO QUINTANA ALBUQUERQUE
Credential	:
Telephone Number	:	786-558-5591

Provider Enumeration Date	:	01/20/2022
Last Update Date	:	09/23/2022

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Directions to “SERTA COMPLETE INC ” Practice Location

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