Provider Demographics
NPI:1275076572
Name:FS MEDICAL INC
Entity Type:Organization
Organization Name:FS MEDICAL INC
Other - Org Name:FS MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FERDINAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMONETTI
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:787-946-5401
Mailing Address - Street 1:DL1 AVE FIDALGO DIAZ ESQ VIA EMILIA
Mailing Address - Street 2:VILLA FONTANA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-946-5401
Mailing Address - Fax:787-946-8352
Practice Address - Street 1:DL1 AVE FIDALGO DIAZ ESQ VIA EMILIA
Practice Address - Street 2:VILLA FONTANA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-946-5401
Practice Address - Fax:787-946-8352
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-18
Last Update Date:2016-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies