Provider Demographics
NPI:1629324223
Name:UTUADO MEDICAL EQUIPMENT & SUPPLY
Entity Type:Organization
Organization Name:UTUADO MEDICAL EQUIPMENT & SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO MILLET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-814-1100
Mailing Address - Street 1:CALLE DR. CUETO 15
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641
Mailing Address - Country:US
Mailing Address - Phone:787-647-5449
Mailing Address - Fax:787-828-7777
Practice Address - Street 1:CALLE GUILLERMO ESTEVES
Practice Address - Street 2:#66
Practice Address - City:JAYUYA
Practice Address - State:PR
Practice Address - Zip Code:00664
Practice Address - Country:US
Practice Address - Phone:787-647-5449
Practice Address - Fax:787-828-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14-P-2032332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1558382374OtherNPI