Provider Demographics
NPI:1740229798
Name:MIAMI RENTAL DURABLE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:MIAMI RENTAL DURABLE MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGREGORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-818-5771
Mailing Address - Street 1:9802 NW 80 AVE BAY G-49
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-9999
Mailing Address - Country:US
Mailing Address - Phone:305-818-5771
Mailing Address - Fax:305-818-5788
Practice Address - Street 1:9802 NW 80TH AVE BAY G-49
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-9999
Practice Address - Country:US
Practice Address - Phone:305-818-5771
Practice Address - Fax:305-818-5788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL479332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL950352800Medicaid
FL0367560001Medicare ID - Type UnspecifiedPROVIDER NUMBER