Provider Demographics
NPI:1588232276
Name:BENEFICIAL MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:BENEFICIAL MEDICAL SUPPLY INC
Other - Org Name:BENEFICIAL MEDICAL SUPPLY INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DULCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ FUENTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-254-7286
Mailing Address - Street 1:9010 SW 137TH AVE STE 224
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1408
Mailing Address - Country:US
Mailing Address - Phone:786-254-7286
Mailing Address - Fax:855-299-5997
Practice Address - Street 1:9010 SW 137TH AVE STE 224
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1408
Practice Address - Country:US
Practice Address - Phone:786-254-7286
Practice Address - Fax:855-299-5997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-17
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies