Healthcare Provider Details

I. General information

NPI: 1386721819
Provider Name (Legal Business Name): EQUIPOS MEDICOS LIVIRSA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 CALLE PH HERNANDEZ
HATILLO PR
00659-2007
US

IV. Provider business mailing address

PO BOX 1097
HATILLO PR
00659-1097
US

V. Phone/Fax

Practice location:
  • Phone: 787-820-5553
  • Fax: 787-820-6851
Mailing address:
  • Phone: 787-820-5553
  • Fax: 787-820-6851

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH M RUIZ
Title or Position: OWNER
Credential:
Phone: 787-820-5553