# MIRACULOUS MEDICAL SUPPLIES INC.

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

## Provider details

- **NPI number:** 1558733014
- **Authorized official:** CHRISTINO FROILAN AYRA (OWNER/ PRESIDENT/ CEO/ DIRECTOR)
- **Authorized official phone:** (786) 701-8843

## Contact information

- **Practice address:** 15411 SW 137TH AVE, MIAMI, FL 33177-1279
- **Practice address phone:** (786) 701-8843
- **Practice address fax:** (786) 701-8844
- **Mailing address:** 15411 SW 137TH AVE, MIAMI, FL 33177-1279

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2015
- **Last updated:** 05/02/2024
