Healthcare Provider Details

I. General information

NPI: 1588695027
Provider Name (Legal Business Name): MAGUEYES MEDICAL SUPPLY & EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 01/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 140 KM 63.5 BO MAGUEYES
BARCELONETA PR
00617
US

IV. Provider business mailing address

936 BRISAS DEL MONTE
BARCELONETA PR
00617
US

V. Phone/Fax

Practice location:
  • Phone: 787-846-7000
  • Fax: 787-846-7000
Mailing address:
  • Phone: 787-846-7000
  • Fax: 787-846-7000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: IRIS N TORRES CHEVERE
Title or Position: PRESIDENT
Credential:
Phone: 787-846-7000