Provider Demographics
NPI:1184673592
Name:BARALT MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:BARALT MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DIARAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ANRUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-860-7777
Mailing Address - Street 1:AVENIDA PRINCIPAL BARALT
Mailing Address - Street 2:G-18
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:787-860-7777
Mailing Address - Fax:787-863-1427
Practice Address - Street 1:AVENIDA PRINCIPAL BARALT
Practice Address - Street 2:G-18
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-7777
Practice Address - Fax:787-863-1427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5136460001Medicare ID - Type Unspecified