LATIN MEDICAL SUPPLY INC (NPI# 1063477784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063477784 |
| Entity Type | Organization |
| Organization Name | LATIN MEDICAL SUPPLY INC |
| Other Organization Name | DBA/ LATIN PHARMACY |
| Practice Address |
240 E 1st Ave Ste 124 Hialeah FL 33010-4963 |
| Practice Telephone | 3058854214 |
| Practice Fax Number | 3058854215 |
| Mailing Telephone | 3058854214 |
| Mailing Fax Number | 3058854215 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | JOSE E BECEIRO (PRESIDENT) |
| Authorized Official Telephone | 3058854214 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
========= | FL | Suppliers |
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
PH22896 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NCPDP DME NUMBER | 1029645 | 01 |
| FL | PHARMACY LLICENSE | PH22895 | 01 |
| FL | DEA | FL0598562 | 01 |
| FL | 000925000 | 05 |
| Other Name | Type Code |
|---|---|
| dba/ latin pharmacy | Doing Business As Name - Organization |
| Street Address |
240 E 1ST AVE STE 124 |
| City | HIALEAH |
| State | FL |
| Zip Code | 33010-4963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780085522 | Ivette Soto | Pharmacist | 240 E 1st Ave, #124, Hialeah, FL 33010-4963 | 2014-09-11 |
| 1790048973 | Gisell Estrella Vina | Psychologist | 240 E 1st Ave, Hialeah, FL 33010-4963 | 2012-06-21 |
| 1740486257 | Maitel Optical Solutions, Inc | Durable Medical Equipment & Medical Supplies | 240 E 1st Ave, Ste 109, Hialeah, FL 33010-4963 | 2007-06-22 |
| 1356428064 | Cherubic Assistance Center, Inc. | Durable Medical Equipment & Medical Supplies | 240 E 1st Ave, #213, Hialeah, FL 33010-4963 | 2006-11-01 |
| 1043231236 | Amaro Medical Center Inc | Clinic/Center | 240 E 1st Ave, Suite 101, Hialeah, FL 33010-4963 | 2006-07-22 |
| 1164479382 | E & E Medical Services Corp | Durable Medical Equipment & Medical Supplies | 240 E 1st Ave, Suite 107, Hialeah, FL 33010-4963 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962068619 | Julia Maria Hernandez | Behavior Technician | 28 Essex Ave, Hialeah, FL 33010 | 2019-05-17 |
| 1376018804 | Clinica Las Mercedes Iv, Inc. | Clinic/Center | 149 West 21st Street, Hialeah, FL 33010 | 2018-10-11 |
| 1760965172 | Carolyn Troche | Behavior Technician | 2695 W 6th Ave, Hialeah, FL 33010 | 2018-09-11 |
| 1013499714 | Marilyn Rueda | Counselor | 310 E 5th St., Hialeah, FL 33010 | 2018-08-30 |
| 1467932954 | Maribel Zorrilla | Home Health Aide | 840 Se 1st, Hialeah, FL 33010 | 2018-08-15 |
| 1790277382 | Rafael Mugia Fernandez | Behavior Technician | 695 E 8th Ct, Hialeah, FL 33010 | 2018-05-31 |
| 1669962999 | Odalis Gonzalez | Behavior Technician | 282 E 18th St, Hialeah, FL 33010 | 2018-05-11 |
| 1760989651 | Fernando Oscar Larrua Gonzalez | Behavior Technician | 950 W 3rd Ave Apt 18, Hialeah, FL 33010 | 2018-04-09 |
| 1598267056 | Nubia Sierra | Technician, Other | 906 E 4 Ave, Hialeah, FL 33010 | 2018-03-01 |
| 1275033037 | Catisleidys N/a Maqueira | Behavior Technician | Catisleidys Maqueira, 304 W 19 Tu Street Apt Rear, Hialeah, FL 33010 | 2018-02-19 |
| Find all providers in zip 33010 | ||||
| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811034119 | Malecon Pharmacy Inc | Pharmacy | 5966 W 16th Ave, Hialeah, FL 33012-6814 | 2007-01-30 |
| 1831592492 | Asc Pharmacy, Inc. | Pharmacy | 3416 W 84th St, Suite 108a, Hialeah, FL 33018-4933 | 2014-09-26 |
| 1801209366 | Life Healthcare Services, Inc. | Pharmacy | 2170 W 73rd St, Hialeah, FL 33016-1820 | 2014-06-03 |
| 1104263938 | Flores Pharmacy | Pharmacy | 1475 W Okeechobee Rd Ste 5, Hialeah, FL 33010-2860 | 2013-06-03 |
| 1053664268 | Prestiage Pharmacy and Medical Supplies Inc | Pharmacy | 2150 W 76th St, Suite 106, Hialeah, FL 33016-1882 | 2012-10-25 |
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| 1730723685 | Eckerds Rx 107 LLC | Pharmacy | 710 N Brevard Ave, Arcadia, FL 34266-8778 | 2019-11-04 |
| 1780244335 | Amaranth Life Sciences Pharmaceutical, Inc. | Pharmacy | 1731 Avenida Del Sol, Boca Raton, FL 33432-1742 | 2019-06-17 |
| 1730678996 | Rav Pharma LLC | Pharmacy | 450077 State Road 200 Ste 4, Callahan, FL 32011-3863 | 2018-05-03 |
| 1720538689 | Community Specialty Pharmacy, LLC | Pharmacy | 1617 34th St S Unit B, St Petersburg, FL 33711-2855 | 2016-10-04 |
| 1467909580 | Walgreen Specialty Pharmacy LLC | Pharmacy | 8325 S Park Cir, Ste 200, Orlando, FL 32819-9075 | 2016-09-07 |
| 1770932048 | Recept Pharmacy Lp | Pharmacy | 4011 Crescent Park Dr, Riverview, FL 33578-3605 | 2016-06-08 |
| 1417317447 | Sage Rx Specialty Pharmacy | Pharmacy | 3693 W Waters Ave # 1210, Tampa, FL 33614-2783 | 2016-03-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.