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NPI Code Detail

MEDICARE: PRO OXY RESPIRATORY SERVICES INC

MEDICARE: PRO OXY RESPIRATORY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier
2332BX2000XOxygen Equipment & Supplies (DME)08P1347PR

General Provider Information

NPI Number : 1144345240
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRO OXY RESPIRATORY SERVICES INC
Provider Business Mailing Address
First Line : 951 AVE AMERICO MIRANDA
Second Line :
City : SAN JUAN
State : PR
Zip : 00921-2801
Country : US
Telephone Number : 787-749-9744
Fax Number : 787-754-1619
Provider Business Practice Location Address
First Line : AVE AMERICO MIRANDA
Second Line : #951
City : SAN JUAN
State : PR
Zip : 00921-2801
Country : US
Telephone Number : 787-749-9744
Fax Number : 787-754-1619
Authorized Official
Title or Position : PRESIDENT
Name : JAIME SEPULVEDA
Credential :
Telephone Number : 787-749-9744
Provider Enumeration Date : 03/20/2007
Last Update Date : 03/30/2011

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Directions to “PRO OXY RESPIRATORY SERVICES INC ” Practice Location

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