Provider Demographics
NPI:1043257553
Name:INTER ISLAND MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:INTER ISLAND MEDICAL EQUIPMENT INC
Other - Org Name:INTER ISLAND MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AWILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-735-8830
Mailing Address - Street 1:1 CALLE VIZCARRONDO
Mailing Address - Street 2:PO BOX 2049
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-3624
Mailing Address - Country:US
Mailing Address - Phone:787-735-8830
Mailing Address - Fax:787-735-3141
Practice Address - Street 1:1 CALLE VIZCARRONDO
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-3624
Practice Address - Country:US
Practice Address - Phone:787-735-8830
Practice Address - Fax:787-735-3141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0377890001Medicare NSC
PR0377890002Medicare NSC
PR0377890003Medicare NSC