Provider Demographics
NPI:1598394801
Name:TOTAL MEDICAL EQUIPMENT LLC
Entity Type:Organization
Organization Name:TOTAL MEDICAL EQUIPMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAN LAZARO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARNERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-344-7829
Mailing Address - Street 1:200 HOOVER AVE UNIT 1912
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6887
Mailing Address - Country:US
Mailing Address - Phone:786-344-7829
Mailing Address - Fax:
Practice Address - Street 1:200 HOOVER AVE UNIT 1912
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6887
Practice Address - Country:US
Practice Address - Phone:786-344-7829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2022-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies