Provider Demographics
NPI:1235136490
Name:K TORO GARRATON INC
Entity Type:Organization
Organization Name:K TORO GARRATON INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP SALES
Authorized Official - Prefix:MR
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSTAFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-760-7610
Mailing Address - Street 1:PO BOX 8629
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-0629
Mailing Address - Country:US
Mailing Address - Phone:787-760-7610
Mailing Address - Fax:787-760-1590
Practice Address - Street 1:CALLE SANTA CRUZ #28
Practice Address - Street 2:K. TORO GARRATON INC.
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961
Practice Address - Country:US
Practice Address - Phone:787-760-7610
Practice Address - Fax:787-760-7610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-02
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1212080001Medicare NSC
PR1212080001Medicare Oscar/Certification