Provider Demographics
NPI:1245902329
Name:MIAMI MED DME INC
Entity type:Organization
Organization Name:MIAMI MED DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORATH
Authorized Official - Middle Name:
Authorized Official - Last Name:GINARTE RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-273-2111
Mailing Address - Street 1:10300 SW 72ND ST STE 261C
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3014
Mailing Address - Country:US
Mailing Address - Phone:305-273-2111
Mailing Address - Fax:
Practice Address - Street 1:10300 SW 72ND ST STE 261C
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3014
Practice Address - Country:US
Practice Address - Phone:305-273-2111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies