Organization
PR MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDRES ACOSTA (PRESIDENT)
(786) 542-6152
Entity
Organization
Contact information
Practice address
14331 SW 120 ST, SUITE 120, MIAMI, FL 33186
(786) 542-6152
(786) 615-3197
Mailing address
14331 SW 120 ST, SUITE 120, MIAMI, FL 33186
(786) 542-6152
(786) 615-3197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/31/2017
Last updated
05/06/2020
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