Provider Demographics
NPI:1972635142
Name:MED HEART MEDICAL EQUIPMENT CORP
Entity Type:Organization
Organization Name:MED HEART MEDICAL EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUDBECKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FALCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-892-8931
Mailing Address - Street 1:18 CALLE PUEBLO NUEVO
Mailing Address - Street 2:LOCAL NUM 3
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-4331
Mailing Address - Country:US
Mailing Address - Phone:787-892-8931
Mailing Address - Fax:787-892-8931
Practice Address - Street 1:18 CALLE PUEBLO NUEVO
Practice Address - Street 2:LOCAL NUM 3
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4331
Practice Address - Country:US
Practice Address - Phone:787-892-8931
Practice Address - Fax:787-892-8931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherFIRST PLUS HEALTH PLAN
PR5405290001Medicare NSC