Healthcare Provider Details

I. General information

NPI: 1770647828
Provider Name (Legal Business Name): HUMAN MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876 CALLE 27 SW LAS LOMAS
SAN JUAN PR
00921-2421
US

IV. Provider business mailing address

876 CALLE 27 SW LAS LOMAS
SAN JUAN PR
00921-2421
US

V. Phone/Fax

Practice location:
  • Phone: 787-775-8011
  • Fax: 787-775-8020
Mailing address:
  • Phone: 787-775-8011
  • Fax: 787-775-8020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StatePR

VIII. Authorized Official

Name: MISS NORMA WILLIAMS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 787-775-8011