# ST CLARA MEDICAL EQUIPMENT CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043267842
- **Authorized official:** MAYRA DIAZ (PRESIDENT)
- **Authorized official phone:** (305) 863-9507

## Contact information

- **Practice address:** 403 WEST 29 STREET, HIALEAH, FL 33012
- **Practice address phone:** (305) 863-9507
- **Practice address fax:** (305) 863-9705
- **Mailing address:** 403 WEST 29 STREET, HIALEAH, FL 33012
- **Mailing address phone:** (305) 863-9507
- **Mailing address fax:** (305) 863-9705

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020