Provider Demographics
NPI:1902838238
Name:MARLA'S MEDICAL EQUIPMENT, CORP.
Entity Type:Organization
Organization Name:MARLA'S MEDICAL EQUIPMENT, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:ENID
Authorized Official - Last Name:FUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-898-4588
Mailing Address - Street 1:7 ESTE MUNOZ RIVERA AVE.
Mailing Address - Street 2:SUITE 1
Mailing Address - City:CAMUY
Mailing Address - State:PR
Mailing Address - Zip Code:00627
Mailing Address - Country:US
Mailing Address - Phone:787-898-4588
Mailing Address - Fax:787-820-7691
Practice Address - Street 1:MUNOZ RIVERA AVE. #7 ESTE
Practice Address - Street 2:SUITE 1
Practice Address - City:CAMUY
Practice Address - State:PR
Practice Address - Zip Code:00627
Practice Address - Country:US
Practice Address - Phone:787-898-4588
Practice Address - Fax:787-820-7691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5163130001Medicare NSC