Provider Demographics
NPI:1912778721
Name:ISLEEP DIAGNOSTICS CORP
Entity Type:Organization
Organization Name:ISLEEP DIAGNOSTICS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:EDGARDO
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:787-595-6257
Mailing Address - Street 1:PO BOX 370510
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0510
Mailing Address - Country:US
Mailing Address - Phone:787-595-6257
Mailing Address - Fax:
Practice Address - Street 1:CARR 14 R 7730 KM 0 HM 9 BO HONDURAS
Practice Address - Street 2:
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-595-6257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies