Provider Demographics
NPI:1942225222
Name:COMFORT MEDICAL SUPPLIES, INC.
Entity Type:Organization
Organization Name:COMFORT MEDICAL SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-844-5959
Mailing Address - Street 1:PO BOX 7032
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7032
Mailing Address - Country:US
Mailing Address - Phone:787-844-5959
Mailing Address - Fax:787-259-2979
Practice Address - Street 1:1111 AVE MUNOZ RIVERA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-0635
Practice Address - Country:US
Practice Address - Phone:787-844-5959
Practice Address - Fax:787-259-2979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5-4507OtherTRIPLE S
PR000002607OtherAMERICAN HEALTH MEDICARE
PR840203OtherMMM HEALTHCARE INC
PR50432OtherPMC MEDICARE CHOICE
PR000002607OtherAMERICAN HEALTH MEDICARE