Provider Demographics
NPI:1093891996
Name:QUALITY MEDICAL EQUIPMENT & SUPPLIES, INC.
Entity Type:Organization
Organization Name:QUALITY MEDICAL EQUIPMENT & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:DYNEL
Authorized Official - Middle Name:N
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:340-773-3030
Mailing Address - Street 1:6013 ESTATE QUESTA VERDE
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00820-5103
Mailing Address - Country:US
Mailing Address - Phone:340-773-3030
Mailing Address - Fax:340-773-1414
Practice Address - Street 1:PLOT 4B ESTATE SION FARM COMMERCIAL CENTER BAY 8
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820
Practice Address - Country:US
Practice Address - Phone:340-773-3030
Practice Address - Fax:340-773-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI220244852006332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VI5369360001Medicare NSC