Provider Demographics
NPI:1679688568
Name:UNITY MEDICAL SUPPLY CORP.
Entity Type:Organization
Organization Name:UNITY MEDICAL SUPPLY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAMOS-BUSIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-856-4043
Mailing Address - Street 1:PO BOX 3007
Mailing Address - Street 2:
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698-3007
Mailing Address - Country:US
Mailing Address - Phone:787-853-4043
Mailing Address - Fax:787-856-7509
Practice Address - Street 1:71 CALLE COMERCIO
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3541
Practice Address - Country:US
Practice Address - Phone:787-856-4043
Practice Address - Fax:787-856-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0489370001332B00000X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0489370002Medicare NSC
PR0489370001Medicare NSC