Provider Demographics
NPI:1588611594
Name:AMQ MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:AMQ MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SZAJKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-787-0175
Mailing Address - Street 1:E46 CALLE MARGINAL
Mailing Address - Street 2:EXT. FOREST HILLS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-5513
Mailing Address - Country:US
Mailing Address - Phone:787-787-0175
Mailing Address - Fax:787-779-6221
Practice Address - Street 1:E46 CALLE MARGINAL
Practice Address - Street 2:EXT. FOREST HILLS
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-5500
Practice Address - Country:US
Practice Address - Phone:787-787-0175
Practice Address - Fax:787-779-6221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0915640002Medicare ID - Type Unspecified