Healthcare Provider Details

I. General information

NPI: 1043257553
Provider Name (Legal Business Name): INTER ISLAND MEDICAL EQUIPMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE VIZCARRONDO
AIBONITO PR
00705-3624
US

IV. Provider business mailing address

1 CALLE VIZCARRONDO PO BOX 2049
AIBONITO PR
00705-3624
US

V. Phone/Fax

Practice location:
  • Phone: 787-735-8830
  • Fax: 787-735-3141
Mailing address:
  • Phone: 787-735-8830
  • Fax: 787-735-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. AWILDA TORRES
Title or Position: ADMINISTRATOR
Credential:
Phone: 787-735-8830