Organization
DIEGO'S MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO HERNANDEZ BENITEZ (PRESIDENT)
(786) 573-0741
Entity
Organization
Contact information
Practice address
14055 SW 142ND AVE, MIAMI, FL 33186-6757
(786) 573-0741
(786) 573-0742
Mailing address
14055 SW 142ND AVE, MIAMI, FL 33186-6757
(786) 573-0741
(786) 573-0742
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1313173
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1313173
AHCA LICENSE
FL
Enumeration date
11/14/2006
Last updated
08/22/2020
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