Provider Demographics
NPI:1467713081
Name:CAYEY HOSPITAL & MEDICAL SUPPLY
Entity Type:Organization
Organization Name:CAYEY HOSPITAL & MEDICAL SUPPLY
Other - Org Name:CASA LYNARIS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:RAFAEL
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-738-2587
Mailing Address - Street 1:PO BOX 371088
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1088
Mailing Address - Country:US
Mailing Address - Phone:787-738-2587
Mailing Address - Fax:
Practice Address - Street 1:109 AVE MUNOZ RIVERA S
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736-4746
Practice Address - Country:US
Practice Address - Phone:787-738-2587
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-30
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies