Provider Demographics
| NPI: | 1619983459 |
|---|---|
| Name: | ECAMIR MEDICAL SUPPLIES INC |
| Entity type: | Organization |
| Organization Name: | ECAMIR MEDICAL SUPPLIES INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | ALNERYS |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | ALONSO |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 305-512-5672 |
| Mailing Address - Street 1: | 1140 W 50TH ST |
| Mailing Address - Street 2: | 404 |
| Mailing Address - City: | HIALEAH |
| Mailing Address - State: | FL |
| Mailing Address - Zip Code: | 33012-3440 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 305-512-5672 |
| Mailing Address - Fax: | 305-512-5673 |
| Practice Address - Street 1: | 1140 W 50TH ST |
| Practice Address - Street 2: | 404 |
| Practice Address - City: | HIALEAH |
| Practice Address - State: | FL |
| Practice Address - Zip Code: | 33012-3440 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 305-512-5672 |
| Practice Address - Fax: | 305-512-5673 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2006-08-01 |
| Last Update Date: | 2020-08-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| FL | 3055125672 | Other | TELEPHONE |