Provider Demographics
NPI:1558345041
Name:INTERAMERICAN OXYGEN CORPORATION
Entity Type:Organization
Organization Name:INTERAMERICAN OXYGEN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LABADIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-347-7355
Mailing Address - Street 1:GK31 AVE ROBERTO SANCHEZ VILELLA
Mailing Address - Street 2:URB COUNTRY CLUB
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00982-2657
Mailing Address - Country:US
Mailing Address - Phone:787-752-7171
Mailing Address - Fax:
Practice Address - Street 1:GK31 AVE ROBERTO SANCHEZ VILELLA
Practice Address - Street 2:URB COUNTRY CLUB
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00982-2657
Practice Address - Country:US
Practice Address - Phone:787-752-7171
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-30
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5480410001332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5480410001Medicare NSC