Provider Demographics
NPI:1235716606
Name:DEL PRADO MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:DEL PRADO MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ORANKY
Authorized Official - Middle Name:
Authorized Official - Last Name:CARO DEL RIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-800-5541
Mailing Address - Street 1:1323 LAFAYETTE ST STE I
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-9703
Mailing Address - Country:US
Mailing Address - Phone:239-800-5541
Mailing Address - Fax:239-800-5573
Practice Address - Street 1:1323 LAFAYETTE ST STE I
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-9703
Practice Address - Country:US
Practice Address - Phone:239-800-5541
Practice Address - Fax:239-800-5573
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-24
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies