=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063466100
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | R & C MEDICAL EQUIPMENT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/22/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CALLE 10 G20 URB BRAZILIA
-----------------------------------------------------
City | VEGA BAJA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00693
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-858-0276
-----------------------------------------------------
Fax | 787-858-0276
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PHB 362 PO BOX 7004
-----------------------------------------------------
City | VEGA BAJA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00694-7004
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-858-0276
-----------------------------------------------------
Fax | 787-858-0276
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MR. WILLIAM HARNANDEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-858-0276
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------