Provider Demographics
NPI:1093301269
Name:MAS HME SERVICES AND SUPPLIES CORP
Entity Type:Organization
Organization Name:MAS HME SERVICES AND SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-882-9140
Mailing Address - Street 1:1275 W 47TH PL STE 332
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3449
Mailing Address - Country:US
Mailing Address - Phone:305-882-9180
Mailing Address - Fax:305-351-9168
Practice Address - Street 1:1275 W 47TH PL STE 332
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3449
Practice Address - Country:US
Practice Address - Phone:305-882-9180
Practice Address - Fax:305-351-9168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-11
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies