Provider Demographics
NPI:1447214366
Name:STAR MEDICAL EQUIPMENT RENTAL INC
Entity Type:Organization
Organization Name:STAR MEDICAL EQUIPMENT RENTAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTEBAN
Authorized Official - Middle Name:RENE
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-887-7780
Mailing Address - Street 1:7750 W 26TH AVE UNIT 11
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5698
Mailing Address - Country:US
Mailing Address - Phone:305-887-7780
Mailing Address - Fax:305-887-0887
Practice Address - Street 1:7750 W 26TH AVE UNIT 11
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5698
Practice Address - Country:US
Practice Address - Phone:305-887-7780
Practice Address - Fax:305-887-0887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2020-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL123332BN1400X, 332BP3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000392900Medicaid
FL0338610001Medicare NSC