Benitez MD Supply Corp
Durable Medical Equipment & Medical Supplies in Miami, FL. Organization (NPI-2).
NPI number1104580703
StatusActive
Last updated in NPPESMar 23, 2022
Details
- NPI
- 1104580703
- Entity type
- Organization (NPI-2)
- Legal business name
- Benitez MD Supply Corp
- Organization subpart
- No
- Enumeration date
- Oct 29, 2021
- Certification date
- Mar 23, 2022
- Last updated
- Mar 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
12150 Sw 128th CtMiami, FL 33186-4647
Phone 786-592-1173
Mailing address
12150 Sw 128th CtMiami, FL 33186-4647
Authorized official
Jose R Valdez
President
7865921173
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