Provider Demographics
NPI:1144246216
Name:MORALES MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:MORALES MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:IV
Authorized Official - Credentials:
Authorized Official - Phone:786-337-8788
Mailing Address - Street 1:730 SE 8TH ST
Mailing Address - Street 2:102
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010-5646
Mailing Address - Country:US
Mailing Address - Phone:786-337-8788
Mailing Address - Fax:
Practice Address - Street 1:730 SE 8TH ST
Practice Address - Street 2:102
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010-5646
Practice Address - Country:US
Practice Address - Phone:786-337-8788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies