Provider Demographics
NPI:1568424380
Name:BRENDALIS BORRERO RIPOLL
Entity Type:Organization
Organization Name:BRENDALIS BORRERO RIPOLL
Other - Org Name:BEST QUALITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDALIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BORRERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-740-5733
Mailing Address - Street 1:B5 CALLE TABONUCO
Mailing Address - Street 2:PMB 240 SUITE 216
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-3004
Mailing Address - Country:US
Mailing Address - Phone:787-740-5733
Mailing Address - Fax:787-740-5733
Practice Address - Street 1:H28 CALLE 9
Practice Address - Street 2:RIVER VIEW
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-3838
Practice Address - Country:US
Practice Address - Phone:787-740-5733
Practice Address - Fax:787-740-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9501136OtherBLUE SHIELD PROVIDER NUMB
PR9501136OtherBLUE SHIELD PROVIDER NUMB