Provider Demographics
NPI:1619044609
Name:EQUIPOS MEDICOS DEL SUR INC
Entity Type:Organization
Organization Name:EQUIPOS MEDICOS DEL SUR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SANTIAGO
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RFO
Authorized Official - Phone:787-856-6403
Mailing Address - Street 1:PO BOX 915
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-0915
Mailing Address - Country:US
Mailing Address - Phone:787-856-3403
Mailing Address - Fax:787-856-3403
Practice Address - Street 1:48 CALLE MATTEI LLUBERAS
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3634
Practice Address - Country:US
Practice Address - Phone:787-856-3403
Practice Address - Fax:787-526-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4418540001Medicare NSC