Provider Demographics
NPI:1518047158
Name:MEDITERRANEAN MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:MEDITERRANEAN MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:RAMON
Authorized Official - Last Name:URBINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-825-0584
Mailing Address - Street 1:7750 W 24TH AVE
Mailing Address - Street 2:SUITE 20
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5660
Mailing Address - Country:US
Mailing Address - Phone:305-825-0584
Mailing Address - Fax:
Practice Address - Street 1:7750 W 24TH AVE
Practice Address - Street 2:SUITE 20
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5660
Practice Address - Country:US
Practice Address - Phone:305-825-0584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies