MEDICARE: BASIC MEDICAL BILLING 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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1235166570
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BASIC MEDICAL BILLING INC.

Provider Business Mailing Address
First Line	:	12869 SW 134TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4433
Country	:	US
Telephone Number	:	305-251-9333
Fax Number	:	305-251-0709

Provider Business Practice Location Address
First Line	:	12869 SW 134TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4433
Country	:	US
Telephone Number	:	305-251-9333
Fax Number	:	305-251-0709

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUSEL ESTRADA
Credential	:
Telephone Number	:	305-251-9333

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	08/22/2020

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