Healthcare Provider Details
I. General information
NPI: 1093891996
Provider Name (Legal Business Name): QUALITY MEDICAL EQUIPMENT & SUPPLIES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
PLOT 4B ESTATE SION FARM COMMERCIAL CENTER BAY 8
CHRISTIANSTED VI
00820
US
IV. Provider business mailing address
6013 ESTATE QUESTA VERDE
CHRISTIANSTED VI
00820-5103
US
V. Phone/Fax
- Phone: 340-773-3030
- Fax: 340-773-1414
- Phone: 340-773-3030
- Fax: 340-773-1414
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 220244852006 |
| License Number State | VI |
VIII. Authorized Official
Name:
DYNEL
N.
SOTO
Title or Position: VP
Credential:
Phone: 340-773-3030