Provider Demographics
NPI:1811239908
Name:GPP SERVICES SUPPLIES CORP
Entity Type:Organization
Organization Name:GPP SERVICES SUPPLIES CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GASPAR
Authorized Official - Middle Name:
Authorized Official - Last Name:POZO PERELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-754-9911
Mailing Address - Street 1:1007 CALLE GEN DEL VALLE
Mailing Address - Street 2:URB LAS DELICIAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3722
Mailing Address - Country:US
Mailing Address - Phone:787-754-9911
Mailing Address - Fax:
Practice Address - Street 1:1007 CALLE GEN DEL VALLE
Practice Address - Street 2:URB LAS DELICIAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3722
Practice Address - Country:US
Practice Address - Phone:787-754-9911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-27
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6886730001Medicare NSC