Provider Demographics
NPI:1942297023
Name:UNIVERSAL MEDICAL & HOSPITAL SUPPLY, CORP.
Entity Type:Organization
Organization Name:UNIVERSAL MEDICAL & HOSPITAL SUPPLY, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS - RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-833-4710
Mailing Address - Street 1:PO BOX 1271
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-5271
Mailing Address - Country:US
Mailing Address - Phone:787-833-4710
Mailing Address - Fax:787-265-1122
Practice Address - Street 1:VALLE HERMOSO SHPPING CENTER
Practice Address - Street 2:ALBIZU CAMPOS AVE. SUITE 102
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-833-4710
Practice Address - Fax:787-265-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07734332B00000X
PR05-P-1795332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR994038OtherMMM HEALTHCARE
PR4406340001Medicare NSC