Healthcare Provider Details

I. General information

NPI: 1265734180
Provider Name (Legal Business Name): MACRO TECHNOLOGIES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2010
Last Update Date: 11/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR#2 KM 29.7
VEGA ALTA PUERTO RICO
00692
UM

IV. Provider business mailing address

PO BOX 1659
VEGA ALTA PR
00692-1659
US

V. Phone/Fax

Practice location:
  • Phone: 787-603-4442
  • Fax:
Mailing address:
  • Phone: 787-603-4442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. NELSON BURGOS
Title or Position: PRESIDENT
Credential:
Phone: 787-603-4442