MEDICARE: TOTAL MEDICAL EQUIPMENT LLC

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	:	1598394801
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOTAL MEDICAL EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	200 HOOVER AVE UNIT 1912
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6887
Country	:	US
Telephone Number	:	786-344-7829
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 HOOVER AVE UNIT 1912
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6887
Country	:	US
Telephone Number	:	786-344-7829
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	SAN LAZARO CARNERO
Credential	:
Telephone Number	:	786-344-7829

Provider Enumeration Date	:	04/07/2020
Last Update Date	:	05/13/2022

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