MEDICARE: DADE MEDICAL EQUIPMENT CORP.

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	:	1861403800
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DADE MEDICAL EQUIPMENT CORP.

Provider Business Mailing Address
First Line	:	2651 NW 20TH ST
Second Line	:	2
City	:	MIAMI
State	:	FL
Zip	:	33142-7105
Country	:	US
Telephone Number	:	305-263-3071
Fax Number	:	305-637-3418

Provider Business Practice Location Address
First Line	:	2651 NW 20TH ST
Second Line	:	2
City	:	MIAMI
State	:	FL
Zip	:	33142-7105
Country	:	US
Telephone Number	:	305-263-3071
Fax Number	:	305-637-3418

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HILDELISA HERNANDEZ
Credential	:
Telephone Number	:	305-263-3071

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	08/22/2020

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Directions to “DADE MEDICAL EQUIPMENT CORP. ” Practice Location

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