Healthcare Provider Details

I. General information

NPI: 1346524980
Provider Name (Legal Business Name): SURGI-CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2011
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PATRIOT PL STE 220.09
FOXBORO MA
02035-1375
US

IV. Provider business mailing address

3 FEDERAL ST STE 110
BILLERICA MA
01821-3500
US

V. Phone/Fax

Practice location:
  • Phone: 508-718-4610
  • Fax: 508-718-4138
Mailing address:
  • Phone: 800-797-8744
  • Fax: 800-338-6304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDRES MORENO III
Title or Position: PRESIDENT
Credential:
Phone: 866-356-7846