Healthcare Provider Details

I. General information

NPI: 1225314016
Provider Name (Legal Business Name): DIABETIC SOLUTIONS CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2011
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

158 BLVD ALFONSO VALDES
MAYAGUEZ PR
00680-6468
US

IV. Provider business mailing address

PO BOX 948885
VEGA BAJA PR
00694-8885
US

V. Phone/Fax

Practice location:
  • Phone: 787-884-3382
  • Fax: 787-854-2000
Mailing address:
  • Phone: 787-884-3382
  • Fax: 787-854-2000

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 Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: IVELISSE GUZMAN
Title or Position: MANAGER
Credential:
Phone: 787-624-4266