MEDICARE: WEST MEDICAL EQUIPMENT

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	:	1912900150
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST MEDICAL EQUIPMENT

Provider Business Mailing Address
First Line	:	HC 1 BOX 16277
Second Line	:
City	:	AGUADILLA
State	:	PR
Zip	:	00603-9367
Country	:	US
Telephone Number	:	787-830-3420
Fax Number	:	787-830-3420

Provider Business Practice Location Address
First Line	:	111 CALLE DOMENECH
Second Line	:
City	:	ISABELA
State	:	PR
Zip	:	00662-2938
Country	:	US
Telephone Number	:	787-830-3420
Fax Number	:	787-830-3420

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	EDWIN VELAZQUEZ
Credential	:
Telephone Number	:	787-830-3420

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	08/22/2020

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Directions to “WEST MEDICAL EQUIPMENT ” Practice Location

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