Provider Demographics
NPI:1497043574
Name:PLOM ELECTRIC DE CAGUAS INC.
Entity Type:Organization
Organization Name:PLOM ELECTRIC DE CAGUAS INC.
Other - Org Name:IMPEC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUSTAVO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-653-2424
Mailing Address - Street 1:100 JOSE MERCADO AVE.
Mailing Address - Street 2:BO. PUEBLO
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-653-2424
Mailing Address - Fax:787-653-6277
Practice Address - Street 1:100 JOSE MERCADO AVE.
Practice Address - Street 2:BO. PUEBLO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-2424
Practice Address - Fax:787-653-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-11
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies