Organization Name: | SPORTS MED INNOVATIONS INC |
NPI Number: | 1134320914 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE GABRIEL MACIAS (PRESIDENT) |
Mailing Address: | 717 Ponce De Leon Blvd Suite 221 Coral Gables |
State: | FL US |
Postal Code: | 331342060 |
Phone Number: | 3052347788 |
Fax Number: | 3059699274 |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |