MEDICARE: MULTIDISCIPLINARY PATIENT HEALTH CARE 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
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)

General Provider Information

NPI Number	:	1437157070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MULTIDISCIPLINARY PATIENT HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	PO BOX 1511
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00726-1511
Country	:	US
Telephone Number	:	787-258-1385
Fax Number	:	787-258-1385

Provider Business Practice Location Address
First Line	:	KM 48.6 BO BEATRIZ
Second Line	:
City	:	CIDRA
State	:	PR
Zip	:	00739
Country	:	US
Telephone Number	:	787-258-1385
Fax Number	:	787-258-1385

Authorized Official
Title or Position	:	OWNER
Name	:	DULCE M. SOTO SOTO
Credential	:
Telephone Number	:	787-258-1385

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	04/08/2008

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