Supreme Healthcare Supply Llc
Customized Equipment
1035 Ne 125th St, 301, North Miami
Florida, 33161-5820
305-859-3350 305-928-2535
Supreme Healthcare Supply Llc is a Customized Equipment in North Miami, Florida. It is located at 1035 Ne 125th St, 301, North Miami and it's customer support contact number is 305-859-3350. The authorized person of Supreme Healthcare Supply Llc is Mr. Ivan E Ruiz-otero who is Owner of this DME and his contact number is 305-859-3350. Active license number of Supreme Healthcare Supply Llc is PED218 for Customized Equipment in Florida.
Supreme Healthcare Supply Llc is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Supreme Healthcare Supply Llc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Supreme Healthcare Supply Llc |
| Type: | Customized Equipment |
| Location: | 1035 Ne 125th St, 301, North Miami,
Florida, 33161-5820 |
| Phone: | 305-859-3350 |
| Fax: | 305-928-2535 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Ivan E Ruiz-otero |
| Position: | Owner |
| Contact Number: | 305-859-3350 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1871901322 |
| NPI Enumeration Date: | 29 Jul, 2014 |
| NPI Last Update On: | 13 Sep, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Supreme Healthcare Supply Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Customized Equipment | PED218 | Florida | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7544650001 | Other | Florida | Medicare Ptan |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1035 Ne 125th St, 301
North Miami, Florida |
| Zip: | 33161-5820 |
| Phone Number: | 305-859-3350 |
| Fax Number: | 305-928-2535 |
Patients can reach Supreme Healthcare Supply Llc at
1035 Ne 125th St, 301, North Miami, Florida or can
call on customer care at 305-859-3350.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.