Provider Demographics
NPI:1558090910
Name:WEST MED SUPPLIES CORP
Entity Type:Organization
Organization Name:WEST MED SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:REYNALDO OYARZUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-900-2114
Mailing Address - Street 1:1500 WESTON RD STE 212
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-3265
Mailing Address - Country:US
Mailing Address - Phone:754-900-2114
Mailing Address - Fax:
Practice Address - Street 1:1500 WESTON RD STE 212
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3265
Practice Address - Country:US
Practice Address - Phone:754-900-2114
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies