Provider Demographics
NPI:1275535296
Name:PARVEL MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:PARVEL MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRILLA VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-765-1746
Mailing Address - Street 1:PMB 632
Mailing Address - Street 2:89 AVE DE DIEGO SUITE 105
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6346
Mailing Address - Country:US
Mailing Address - Phone:787-765-1746
Mailing Address - Fax:787-250-1384
Practice Address - Street 1:CALLE JERIZA C 51
Practice Address - Street 2:URB BELIZA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927
Practice Address - Country:US
Practice Address - Phone:787-765-1746
Practice Address - Fax:787-250-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-10
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0860300001Medicare NSC