Provider Demographics
NPI:1366654741
Name:MEDIQUIP& SUPPLIES, INC
Entity Type:Organization
Organization Name:MEDIQUIP& SUPPLIES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAILED
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-234-7732
Mailing Address - Street 1:12446 SW 9TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-2601
Mailing Address - Country:US
Mailing Address - Phone:305-227-8593
Mailing Address - Fax:
Practice Address - Street 1:12011 SW 129TH CT UNIT 5
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6588
Practice Address - Country:US
Practice Address - Phone:305-234-7732
Practice Address - Fax:305-234-7729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies