Provider Demographics
NPI:1659604726
Name:PARVEL MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:PARVEL MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUILLERMO
Authorized Official - Middle Name:
Authorized Official - Last Name:PARRILLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-765-1746
Mailing Address - Street 1:PMB 632
Mailing Address - Street 2:89 AVE. DE DIEGO SUITE 105
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6346
Mailing Address - Country:US
Mailing Address - Phone:787-765-1746
Mailing Address - Fax:787-250-1384
Practice Address - Street 1:CALLE CORCHADO #77
Practice Address - Street 2:SUITE 5
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:US
Practice Address - Phone:787-872-1560
Practice Address - Fax:787-250-1384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0860300002Medicare NSC