# LIBERTY PRO-MED INC

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

## Provider details

- **NPI number:** 1699726307
- **Authorized official:** MR. VICENTE DIAZ (OWNER)
- **Authorized official phone:** (786) 265-0441

## Contact information

- **Practice address:** 8167 NW 60TH ST, MIAMI, FL 33166-3414
- **Practice address phone:** (305) 468-8028
- **Practice address fax:** (305) 468-8029
- **Mailing address:** 8167 NW 60TH ST, MIAMI, FL 33166-3414
- **Mailing address phone:** (305) 468-8028
- **Mailing address fax:** (305) 468-8029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1312493 | FL | Yes |

## Other

- **Enumeration date:** 05/15/2006
- **Last updated:** 08/22/2020