Healthcare Provider Details

I. General information

NPI: 1912167768
Provider Name (Legal Business Name): HEALTH SUPPORT SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 08/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PAZ GRANELA STREET # 1410 SANTIAGO IGLESIAS
SAN JUAN PR
00921
US

IV. Provider business mailing address

CORDOBA PARK #400 BO TORTUGO APT 109
SAN JUAN PR
00926-9773
US

V. Phone/Fax

Practice location:
  • Phone: 787-946-1110
  • Fax: 787-946-1110
Mailing address:
  • Phone: 787-810-1593
  • Fax: 787-272-0463

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: MRS. MARLA LIZZETTE CARAZO
Title or Position: PRESIDENT
Credential:
Phone: 787-810-1593