Provider Demographics
NPI:1528106564
Name:HEALING MEDICAL SUPPLIES INC
Entity type:Organization
Organization Name:HEALING MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTAYA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-351-3500
Mailing Address - Street 1:10701 SW 216TH ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-3106
Mailing Address - Country:US
Mailing Address - Phone:305-969-2337
Mailing Address - Fax:305-969-2338
Practice Address - Street 1:10701 SW 216TH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33170-3106
Practice Address - Country:US
Practice Address - Phone:305-969-2337
Practice Address - Fax:305-969-2338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2008-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5948620001Medicare NSC