Organization
LATIN MEDICAL SUPPLY INC
Active
Other names
dba/ latin pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE E BECEIRO (PRESIDENT)
(305) 885-4214
Entity
Organization
Contact information
Practice address
240 E 1ST AVE, STE 124, HIALEAH, FL 33010-4963
(305) 885-4214
(305) 885-4215
Mailing address
240 E 1ST AVE, STE 124, HIALEAH, FL 33010-4963
(305) 885-4214
(305) 885-4215
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
—
FL
3336S0011X
Specialty Pharmacy
Primary
PH22896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000925000
—
FL
01
—
1029645
NCPDP DME NUMBER
FL
01
—
PH22895
PHARMACY LLICENSE
FL
Enumeration date
04/18/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us