Provider Demographics
NPI:1609823764
Name:PULMONARY DIAGNOSTIC & REHABILITATION, CORP.
Entity Type:Organization
Organization Name:PULMONARY DIAGNOSTIC & REHABILITATION, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ASMAR
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-752-1599
Mailing Address - Street 1:PO BOX 5038
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-5038
Mailing Address - Country:US
Mailing Address - Phone:787-762-6932
Mailing Address - Fax:787-768-6761
Practice Address - Street 1:AVE MONSERRATE # AC3
Practice Address - Street 2:VALLE ARRIBA HEIGHTS
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983-5444
Practice Address - Country:US
Practice Address - Phone:787-752-1599
Practice Address - Fax:787-768-6761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0627870001Medicare NSC