Healthcare Provider Details

I. General information

NPI: 1235136490
Provider Name (Legal Business Name): K TORO GARRATON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2005
Last Update Date: 02/24/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE SANTA CRUZ #28 K. TORO GARRATON INC.
BAYAMON PR
00961
US

IV. Provider business mailing address

PO BOX 8629
SAN JUAN PR
00910-0629
US

V. Phone/Fax

Practice location:
  • Phone: 787-760-7610
  • Fax: 787-760-7610
Mailing address:
  • Phone: 787-760-7610
  • Fax: 787-760-1590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StatePR

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MR. IBRAHIM MUSTAFA
Title or Position: VP SALES
Credential:
Phone: 787-760-7610