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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1477649077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO-OXY RESPIRATORY SERVICES, INC.

Provider Business Mailing Address
First Line	:	AVE. AMERICO MIRANDA #1180
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2229
Country	:	US
Telephone Number	:	787-749-9744
Fax Number	:	787-793-5190

Provider Business Practice Location Address
First Line	:	AVE. AMERICO MIRANDA #1180
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00921-2229
Country	:	US
Telephone Number	:	787-749-9744
Fax Number	:	787-793-5190

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PEDRO ANGEL PAGAN
Credential	:	MPHE
Telephone Number	:	787-749-9744

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	08/22/2020

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