Provider Demographics
NPI:1760413553
Name:PATIENT HEALTH INDUSTRIES, INC.
Entity Type:Organization
Organization Name:PATIENT HEALTH INDUSTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORA
Authorized Official - Middle Name:MILAGROS
Authorized Official - Last Name:QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:787-708-0029
Mailing Address - Street 1:SIERRA MORENA ST 262 B
Mailing Address - Street 2:URB LAS CUMBRES
Mailing Address - City:RIO PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00926-0000
Mailing Address - Country:US
Mailing Address - Phone:787-708-0029
Mailing Address - Fax:787-708-6810
Practice Address - Street 1:SIERRA MORENA ST 262 B
Practice Address - Street 2:URB LAS CUMBRES
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00926-0000
Practice Address - Country:US
Practice Address - Phone:787-708-0029
Practice Address - Fax:787-708-6810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0573190001Medicare NSC