Provider Demographics
NPI:1740267079
Name:ACM MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:ACM MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:D
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:305-884-3387
Mailing Address - Street 1:2639 WEST 3ER COURT
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33010
Mailing Address - Country:US
Mailing Address - Phone:305-884-3387
Mailing Address - Fax:305-887-8817
Practice Address - Street 1:2639 WEST 3ER COURT
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33010
Practice Address - Country:US
Practice Address - Phone:305-884-3387
Practice Address - Fax:305-887-8817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-28
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13121941332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5144750001Medicare NSC