Provider Demographics
NPI:1023194503
Name:CARIBBEAN HOME MEDICAL EQUIPMENT CORP
Entity type:Organization
Organization Name:CARIBBEAN HOME MEDICAL EQUIPMENT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-284-5058
Mailing Address - Street 1:PO BOX 336366
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-6366
Mailing Address - Country:US
Mailing Address - Phone:787-284-5058
Mailing Address - Fax:
Practice Address - Street 1:8155 CALLE CONCORDIA
Practice Address - Street 2:SUITE 104
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1599
Practice Address - Country:US
Practice Address - Phone:787-284-5058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR08-P-2136332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR56783OtherTRIPLE-S OPTIMO
PR50369OtherPMC MEDICARE CHOICE
PR6312OtherAMRICAN HEALTH MEDICARE
PR=========OtherHUMANA GOLD PLUS
PR=========OtherMAPFRE MEDICARE EXCEL
PR50369OtherPMC MEDICARE CHOICE
PR56783OtherTRIPLE-S OPTIMO
PR=========OtherMCS CLASSICARE
PR6312OtherAMRICAN HEALTH MEDICARE
PR6312OtherAMRICAN HEALTH MEDICARE