Provider Demographics
NPI:1578818415
Name:EQUIPOS MEDICOS DEL CARIBE INC
Entity Type:Organization
Organization Name:EQUIPOS MEDICOS DEL CARIBE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-686-6276
Mailing Address - Street 1:URB VILLA ROSA A 11
Mailing Address - Street 2:AVE LOS VETERANOS
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-0000
Mailing Address - Country:US
Mailing Address - Phone:787-686-6276
Mailing Address - Fax:787-686-6276
Practice Address - Street 1:530 MANSIONES DE COAMO
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769-0000
Practice Address - Country:US
Practice Address - Phone:787-686-6276
Practice Address - Fax:787-686-6276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-17
Last Update Date:2012-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5236510001Medicare NSC