MEDICARE: TEBA CENTER 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	:	1396503652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEBA CENTER INC

Provider Business Mailing Address
First Line	:	1801 SW 22ND ST STE 323
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2784
Country	:	US
Telephone Number	:	786-353-2750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1801 SW 22ND ST STE 323
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33145-2784
Country	:	US
Telephone Number	:	786-353-2750
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JARY PIREZ LOPEZ
Credential	:
Telephone Number	:	786-353-2750

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	12/21/2025

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Directions to “TEBA CENTER INC ” Practice Location

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