Provider Demographics
NPI:1356403562
Name:LJJ MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:LJJ MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-253-2176
Mailing Address - Street 1:12461 SW 130TH ST
Mailing Address - Street 2:SUITE A18
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-6235
Mailing Address - Country:US
Mailing Address - Phone:305-253-2176
Mailing Address - Fax:305-253-2491
Practice Address - Street 1:12461 SW 130TH ST
Practice Address - Street 2:SUITE A18
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-6235
Practice Address - Country:US
Practice Address - Phone:305-253-2176
Practice Address - Fax:305-253-2491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5942640001Medicare NSC