Provider Demographics
NPI:1740215037
Name:RELIABLE MEDICAL EQUIPMENT CORP
Entity Type:Organization
Organization Name:RELIABLE MEDICAL EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VICENTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-743-1546
Mailing Address - Street 1:PO BOX 195317
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-5317
Mailing Address - Country:US
Mailing Address - Phone:787-743-1546
Mailing Address - Fax:787-743-1540
Practice Address - Street 1:CARRETERA 796 KM 0.1 INTERIOR
Practice Address - Street 2:BO GUASABARA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-1546
Practice Address - Fax:787-743-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4754050001Medicare NSC