Provider Demographics
NPI:1912129206
Name:EQUIPOS MEDICOS DEL CARIBE INC
Entity Type:Organization
Organization Name:EQUIPOS MEDICOS DEL CARIBE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-873-2412
Mailing Address - Street 1:530 MANSIONES DE COAMO
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769
Mailing Address - Country:US
Mailing Address - Phone:787-873-2412
Mailing Address - Fax:787-873-2412
Practice Address - Street 1:CALLE FELIX TIO 48
Practice Address - Street 2:SUITE 106
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637
Practice Address - Country:US
Practice Address - Phone:787-873-2412
Practice Address - Fax:787-873-2412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR9052OtherAMERICAN HEALTH
PR5-7547-EQOtherTRIPLE S
PR50422OtherPREFERRED MEDICARE CHOICE
PR9052OtherAMERICAN HEALTH