Healthcare Provider Details

I. General information

NPI: 1689597585
Provider Name (Legal Business Name): AMXOR HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 174 KM 4.5 SECTOR JUAN SANCHEZ
BAYAMON PR
00956-5687
US

IV. Provider business mailing address

PO BOX 6687
BAYAMON PR
00960-5687
US

V. Phone/Fax

Practice location:
  • Phone: 787-785-1555
  • Fax:
Mailing address:
  • Phone: 787-785-1555
  • Fax:

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: IVANNA V MARTINEZ
Title or Position: OPERATIONS MANAGER
Credential: N/A
Phone: 787-362-2777