Provider Demographics
NPI:1942357322
Name:LAWMEDIC, INC.
Entity Type:Organization
Organization Name:LAWMEDIC, INC.
Other - Org Name:LAWMEDIC HOSPITAL & MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AYLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:JD, RFOM
Authorized Official - Phone:787-782-1316
Mailing Address - Street 1:PO BOX 364841
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-4841
Mailing Address - Country:US
Mailing Address - Phone:787-782-1316
Mailing Address - Fax:787-782-1347
Practice Address - Street 1:1036 AVE JESUS T PINERO
Practice Address - Street 2:PUERTO NUEVO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-1818
Practice Address - Country:US
Practice Address - Phone:787-782-1316
Practice Address - Fax:787-782-1347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2133-SJ332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4643710001Medicare ID - Type UnspecifiedDMI