Healthcare Provider Details

I. General information

NPI: 1487983748
Provider Name (Legal Business Name): D & Y SERVICES SUPPLIES , CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2009
Last Update Date: 09/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 AVENIDA DE DIEGO PUERTO NUEVO
SAN JUAN PR
00920-5001
US

IV. Provider business mailing address

601 AVENIDA DE DIEGO PUERTO NUEVO
SAN JUAN PR
00920-5001
US

V. Phone/Fax

Practice location:
  • Phone: 787-707-8623
  • Fax: 787-781-2346
Mailing address:
  • Phone: 787-707-8623
  • Fax: 787-781-2346

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: MS. YALIANA COLUMBIE
Title or Position: PRESIDENT
Credential:
Phone: 787-529-8362