Provider Demographics
NPI:1952553158
Name:CARIBBEAN PAIN MANAGEMENT EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:CARIBBEAN PAIN MANAGEMENT EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:DEBRA
Authorized Official - Last Name:VICTOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:340-714-7246
Mailing Address - Street 1:PO BOX 7877
Mailing Address - Street 2:
Mailing Address - City:ST. THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802
Mailing Address - Country:US
Mailing Address - Phone:340-714-7246
Mailing Address - Fax:866-820-2137
Practice Address - Street 1:9150 ESTATE THOMAS
Practice Address - Street 2:SUITE 207
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2611
Practice Address - Country:US
Practice Address - Phone:340-714-7246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI11007753332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment