Provider Demographics
NPI:1881708634
Name:MART AIRTECH SYSTEM INC
Entity type:Organization
Organization Name:MART AIRTECH SYSTEM INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ECHEVARRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-562-0116
Mailing Address - Street 1:PO BOX 4467
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-4467
Mailing Address - Country:US
Mailing Address - Phone:787-562-0116
Mailing Address - Fax:
Practice Address - Street 1:CALLE 7 ESQUINA 8 SABANA GARDEN
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984-0000
Practice Address - Country:US
Practice Address - Phone:787-562-0116
Practice Address - Fax:787-701-6904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6505902OtherACAA