Organization
JERONIMO'S MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN ARUCANQUI (PRESIDENT)
(305) 629-9131
Entity
Organization
Contact information
Practice address
8181 NW 36TH ST, SUITE 14 AB, DORAL, FL 33166-6671
(786) 514-6214
Mailing address
8181 NW 36TH ST, SUITE 14 AB, DORAL, FL 33166-6671
(305) 629-9131
(786) 337-8990
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PENDING
FL
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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