Healthcare Provider Details

I. General information

NPI: 1134595747
Provider Name (Legal Business Name): CAMERA MUNDI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STATE ROAD #1, KM: 34.1 REPARTO INDUSTRIAL CARTAGENA
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 6840
CAGUAS PR
00726-6840
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-4829
  • Fax: 787-746-4979
Mailing address:
  • Phone: 787-653-4829
  • Fax: 787-746-4979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JORGE G DIAZ
Title or Position: GENERAL MANAGER
Credential:
Phone: 787-653-4888