Provider Demographics
NPI:1346845658
Name:YG MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:YG MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTONIO
Authorized Official - Middle Name:
Authorized Official - Last Name:BERMUDEZ MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-730-6601
Mailing Address - Street 1:1490 W 49TH PL STE 503B
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-3191
Mailing Address - Country:US
Mailing Address - Phone:813-730-6601
Mailing Address - Fax:786-703-3966
Practice Address - Street 1:1490 W 49TH PL STE 503B
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-3191
Practice Address - Country:US
Practice Address - Phone:813-730-6601
Practice Address - Fax:786-703-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies