Provider Demographics
NPI:1457301053
Name:QUALITY SERVICE MEDICAL EQUIPMENT,INC.
Entity Type:Organization
Organization Name:QUALITY SERVICE MEDICAL EQUIPMENT,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:JAVIER
Authorized Official - Middle Name:CARRASQUILLO
Authorized Official - Last Name:ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-261-3760
Mailing Address - Street 1:AVE DOS PALMAS 1001-C
Mailing Address - Street 2:
Mailing Address - City:LEVITOWN
Mailing Address - State:PR
Mailing Address - Zip Code:00949
Mailing Address - Country:US
Mailing Address - Phone:787-261-3760
Mailing Address - Fax:787-795-3410
Practice Address - Street 1:AVE DOS PALMAS 1001-C
Practice Address - Street 2:
Practice Address - City:LEVITOWN
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-261-3760
Practice Address - Fax:787-795-3410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-12
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
1192380001Medicare NSC