Provider Demographics
NPI:1841371770
Name:CR MEDICAL EQUIPMENT
Entity type:Organization
Organization Name:CR MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:N
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-897-7672
Mailing Address - Street 1:HC 2 BOX 7335
Mailing Address - Street 2:
Mailing Address - City:LARES
Mailing Address - State:PR
Mailing Address - Zip Code:00669-9719
Mailing Address - Country:US
Mailing Address - Phone:787-897-7672
Mailing Address - Fax:787-897-7672
Practice Address - Street 1:BO. PILETAS
Practice Address - Street 2:CARR 129 KM 24.9
Practice Address - City:LARES
Practice Address - State:PR
Practice Address - Zip Code:00669
Practice Address - Country:US
Practice Address - Phone:787-897-7672
Practice Address - Fax:787-897-7672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR08-P-1319332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR50368OtherPREFERED MEDICARE CHOICE
PR1232490001Medicare ID - Type Unspecified