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NPI Code Detail

MEDICARE: MIAMI DURABLE MEDICAL EQUIPMENT, INC.

MEDICARE: MIAMI DURABLE MEDICAL EQUIPMENT, 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
1332B00000XDurable Medical Equipment & Medical Supplies32FL
2335E00000XProsthetic/Orthotic Supplier32FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922084698
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIAMI DURABLE MEDICAL EQUIPMENT, INC.
Provider Business Mailing Address
First Line : 4699 SW 72ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-4540
Country : US
Telephone Number : 305-663-6446
Fax Number : 305-663-5539
Provider Business Practice Location Address
First Line : 4699 SW 72ND AVE
Second Line :
City : MIAMI
State : FL
Zip : 33155-4540
Country : US
Telephone Number : 305-663-6446
Fax Number : 305-663-5539
Authorized Official
Title or Position : PRESIDENT/CEO
Name : LUIS MANUEL RAMIREZ
Credential :
Telephone Number : 305-663-6446
Provider Enumeration Date : 12/15/2005
Last Update Date : 10/05/2023

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Directions to “MIAMI DURABLE MEDICAL EQUIPMENT, INC. ” Practice Location

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