Provider Demographics
NPI:1568617132
Name:M&E MEDICAL DEVICE CORP.
Entity Type:Organization
Organization Name:M&E MEDICAL DEVICE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGOSTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-593-2275
Mailing Address - Street 1:HC 3 BOX 15787
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-8365
Mailing Address - Country:US
Mailing Address - Phone:787-593-2275
Mailing Address - Fax:787-924-7518
Practice Address - Street 1:HC 3 BOX 15787
Practice Address - Street 2:
Practice Address - City:AGUAS BUENAS
Practice Address - State:PR
Practice Address - Zip Code:00703-8365
Practice Address - Country:US
Practice Address - Phone:787-593-2275
Practice Address - Fax:787-924-7518
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M&E MEDICAL DEVICE CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-11-24
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BD1200X
PR011304332BD1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR181591OtherREGISTER CERTIFICATE