Organization
MAVERICK SUPPLY USA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YORDAN CUBILLAS ULLOA (OWNER)
(786) 769-4620
Entity
Organization
Contact information
Practice address
777 NW 72ND AVE STE 1058, MIAMI, FL 33126-3175
(786) 769-4620
Mailing address
777 NW 72ND AVE STE 1058, MIAMI, FL 33126-3175
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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