Provider Demographics
NPI:1679857049
Name:CARIBBEAN HOME MEDICAL EQUIPMENT CORP
Entity Type:Organization
Organization Name:CARIBBEAN HOME MEDICAL EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-259-5058
Mailing Address - Street 1:PO BOX 336366
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-6366
Mailing Address - Country:US
Mailing Address - Phone:787-259-5058
Mailing Address - Fax:787-284-0001
Practice Address - Street 1:EDIFICIO PARRA SUITE 204
Practice Address - Street 2:2225 PONCE BY PASS
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1320
Practice Address - Country:US
Practice Address - Phone:787-259-5058
Practice Address - Fax:787-284-0001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRCA8333C332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies