Provider Demographics
NPI:1952507618
Name:DORADO DIABETIC SUPPLIES
Entity Type:Organization
Organization Name:DORADO DIABETIC SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERNANDO
Authorized Official - Middle Name:V
Authorized Official - Last Name:DORADO
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:305-971-0482
Mailing Address - Street 1:15265 SW 156TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33187-5473
Mailing Address - Country:US
Mailing Address - Phone:786-242-9460
Mailing Address - Fax:
Practice Address - Street 1:15265 SW 156TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33187-5473
Practice Address - Country:US
Practice Address - Phone:786-242-9460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies