MEDICARE: NILKO PRODUCTS, 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		PR

General Provider Information

NPI Number	:	1710010038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NILKO PRODUCTS, INC.

Provider Business Mailing Address
First Line	:	10 CALLE BERTOLY
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-3060
Country	:	US
Telephone Number	:	787-842-8320
Fax Number	:	787-842-0058

Provider Business Practice Location Address
First Line	:	10 CALLE BERTOLY
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-3060
Country	:	US
Telephone Number	:	787-842-8320
Fax Number	:	787-842-0058

Authorized Official
Title or Position	:	GENERAL MANAGER
Name	:	MR. JAIME LESPIER SANTIAGO
Credential	:
Telephone Number	:	787-842-8320

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/21/2022

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