# JR SUPPLY CORP

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

## Provider details

- **NPI number:** 1225122427
- **Authorized official:** JOSE LUIS ALBELO JR. (PRESIDENT)
- **Authorized official phone:** (305) 817-8838

## Contact information

- **Practice address:** 3750 W 16TH AVE, 240AU, HIALEAH, FL 33012-4654
- **Practice address phone:** (305) 817-8838
- **Practice address fax:** (305) 817-8838
- **Mailing address:** 3961 W 9TH CT, HIALEAH, FL 33012-7229
- **Mailing address phone:** (305) 794-8023
- **Mailing address fax:** (305) 817-8838

## Taxonomy

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

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020