Organization
STAR MEDICAL EQUIPMENT RENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEBAN RENE HERNANDEZ (PRESIDENT)
(305) 887-7780
Entity
Organization
Contact information
Practice address
7750 W 26TH AVE UNIT 11, HIALEAH, FL 33016-5698
(305) 887-7780
(305) 887-0887
Mailing address
7750 W 26TH AVE UNIT 11, HIALEAH, FL 33016-5698
(305) 887-7780
(305) 887-0887
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
123
FL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
123
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000392900
—
FL
Enumeration date
04/17/2006
Last updated
08/12/2020
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