Provider Demographics
NPI:1710939285
Name:MEDIQUIP SERVICES CORP
Entity Type:Organization
Organization Name:MEDIQUIP SERVICES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-704-0421
Mailing Address - Street 1:AB5 CALLE NEBRASKA
Mailing Address - Street 2:URB CAGUAS NORTE
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-2240
Mailing Address - Country:US
Mailing Address - Phone:787-704-0421
Mailing Address - Fax:787-746-8551
Practice Address - Street 1:AB5 CALLE NEBRASKA
Practice Address - Street 2:URB CAGUAS NORTE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2240
Practice Address - Country:US
Practice Address - Phone:787-704-0421
Practice Address - Fax:787-746-8551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation