Provider Demographics
NPI:1114660107
Name:EQUIPOS MEDICOS BY LA MONSERRATE LLC
Entity Type:Organization
Organization Name:EQUIPOS MEDICOS BY LA MONSERRATE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:WILKINS
Authorized Official - Middle Name:
Authorized Official - Last Name:FELICIANO ACEVEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-252-3945
Mailing Address - Street 1:PO BOX 1381
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-1381
Mailing Address - Country:US
Mailing Address - Phone:787-252-3945
Mailing Address - Fax:
Practice Address - Street 1:135 CALLE COLON
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3062
Practice Address - Country:US
Practice Address - Phone:787-252-3945
Practice Address - Fax:787-252-3940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies