Provider Demographics
NPI:1750312310
Name:LE MEDICAL &HOSPITAL SUPPLY INC
Entity type:Organization
Organization Name:LE MEDICAL &HOSPITAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTEBAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:BENITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-841-3033
Mailing Address - Street 1:PO BOX 34069
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00734-4069
Mailing Address - Country:US
Mailing Address - Phone:787-841-3033
Mailing Address - Fax:787-812-5384
Practice Address - Street 1:CALLE MARGINAL #N-42
Practice Address - Street 2:URB. JARDINES FAGOT
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2304
Practice Address - Country:US
Practice Address - Phone:787-841-3033
Practice Address - Fax:787-812-5384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4436660001Medicare NSC