Provider Demographics
NPI:1336194059
Name:MEDICAL EXPRESS RENTAL EQUIPMENT,INC.
Entity Type:Organization
Organization Name:MEDICAL EXPRESS RENTAL EQUIPMENT,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MACHADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-762-7577
Mailing Address - Street 1:PO BOX 7830
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00986-7830
Mailing Address - Country:US
Mailing Address - Phone:787-762-7577
Mailing Address - Fax:787-762-8525
Practice Address - Street 1:RD.887 KM. 0.4
Practice Address - Street 2:CAROLINA COMMERCIAL PARK
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00986
Practice Address - Country:US
Practice Address - Phone:787-762-7577
Practice Address - Fax:787-762-8525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-23
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0429580001Medicare NSC