Provider Demographics
NPI:1780767244
Name:ACME CONSULTANT INTL INC.
Entity type:Organization
Organization Name:ACME CONSULTANT INTL INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE COMPLIANCE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAMARYS
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES VALENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-860-5882
Mailing Address - Street 1:PO BOX 70005
Mailing Address - Street 2:SUITE 263
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-7005
Mailing Address - Country:US
Mailing Address - Phone:787-860-5882
Mailing Address - Fax:787-860-7564
Practice Address - Street 1:375 AVENIDA GENERAL VALERO
Practice Address - Street 2:SUITE 107
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-860-5882
Practice Address - Fax:787-860-7564
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========Medicare ID - Type UnspecifiedDURABLE MEDICAL EQUIPMENT
PR0964350001Medicare NSC