TABRAUE ORTHOPEDIC MEDICAL SUPPLY NPI 1538118518

NPI Information

NPI: 1538118518
Provider Name: TABRAUE ORTHOPEDIC MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
106 SW 16TH AVE
MIAMI, FL
ZIP 33135
Phone: (305) 649-4460
Get Directions

TABRAUE ORTHOPEDIC MEDICAL SUPPLY is an oxygen equipment and supplies durable medical equipment medical supplies in Miami, FL. TABRAUE ORTHOPEDIC MEDICAL SUPPLY NPI is 1538118518. The provider is registered as an organization entity type.

The provider's business location address is:

106 SW 16TH AVE
MIAMI, FL
ZIP 33135-116
Phone: (305) 649-4460
Fax: (305) 649-9249

The provider's authorized official is Raul Tabraue .
The authorized official title is President and has the following contact phone number (305) 649-4460.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 4/12/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	335E00000X	Prosthetic/Orthotic Supplier		ORF189	FLORIDA	No
2	332BX2000X	Durable Medical Equipment & Medical Supplies	Oxygen Equipment & Supplies			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2025	OTHER	FLORIDA	AHCA
2	MCC600932603	OTHER	FLORIDA	MAGELLAN COMPLETE CARE
3	693458796	OTHER	FLORIDA	MEDICAID WAIVER
4	S10585	OTHER	FLORIDA	BOARD FRO ORTHOTIST/PROSTHETIST CERTIFICATION
5	4590320001	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
6	01995024	OTHER	FLORIDA	AMERIGROUP FLORIDA
7	028394100	MEDICAID	FLORIDA
8	QMP000004742490	OTHER	FLORIDA	MOLINA
9	M2813	OTHER	FLORIDA	BLUECROSS BLUESHIELD OF FLORIDA
10	323217	OTHER	FLORIDA	MEDICAL OXYGEN RETAILER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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