Provider Demographics
NPI:1881721322
Name:COOPERATIVA DE EQUIPO MEDICO DE PUERTO RICO
Entity type:Organization
Organization Name:COOPERATIVA DE EQUIPO MEDICO DE PUERTO RICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:A
Authorized Official - Last Name:APONTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-771-3333
Mailing Address - Street 1:EDIF LA ELECTRONICA
Mailing Address - Street 2:CALLE BORI 1608 SUITE 308
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6100
Mailing Address - Country:US
Mailing Address - Phone:787-771-3333
Mailing Address - Fax:787-282-8833
Practice Address - Street 1:EDIF LA ELECTRONICA
Practice Address - Street 2:CALLE BORI 1608 SUITE 308
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6100
Practice Address - Country:US
Practice Address - Phone:787-771-3333
Practice Address - Fax:787-282-8833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Not Answered335E00000XSuppliersProsthetic/Orthotic Supplier