Provider Demographics
NPI:1134256399
Name:CARIBBEAN HEALTH CARE SUPPLY
Entity type:Organization
Organization Name:CARIBBEAN HEALTH CARE SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JR. ACCOUNT
Authorized Official - Prefix:MS
Authorized Official - First Name:GRITZEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LUGO RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-782-9400
Mailing Address - Street 1:PMB 101 CALLE LOIZA #1750
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00911
Mailing Address - Country:US
Mailing Address - Phone:787-782-9400
Mailing Address - Fax:787-781-7089
Practice Address - Street 1:URB. LAS LOMAS CALLE 21 3S-3
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00911
Practice Address - Country:US
Practice Address - Phone:787-782-9400
Practice Address - Fax:787-781-7089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier