Healthcare Provider Details

I. General information

NPI: 1861695876
Provider Name (Legal Business Name): UNITY MEDICAL SUPPLY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 04/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AVE PINO 2 F-3 URB VILLA DEL REY
CAGUAS PR
00725
US

IV. Provider business mailing address

PO BOX 3007
YAUCO PR
00698-3007
US

V. Phone/Fax

Practice location:
  • Phone: 787-744-2661
  • Fax: 787-743-2039
Mailing address:
  • Phone: 787-856-4043
  • Fax: 787-856-7509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberAPM-93-1
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number08-P-1355
License Number StatePR

VIII. Authorized Official

Name: MRS. FLORENCE A RAMOS
Title or Position: PRESIDENT
Credential:
Phone: 787-856-4043