Provider Demographics
NPI:1770519548
Name:DIABETIC CARE SOLUTIONS, INC.
Entity type:Organization
Organization Name:DIABETIC CARE SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HASTINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-807-0733
Mailing Address - Street 1:PO BOX 1526
Mailing Address - Street 2:
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00694-1526
Mailing Address - Country:US
Mailing Address - Phone:787-807-0733
Mailing Address - Fax:787-807-0750
Practice Address - Street 1:LOCAL 1-A
Practice Address - Street 2:CARR. 2 KM 39 , BDA. COLLAZO
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693
Practice Address - Country:US
Practice Address - Phone:787-807-0733
Practice Address - Fax:787-807-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DECFO01394335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier