=====================================================
General NPI Number Information
=====================================================
NPI Number | 1083809164
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MEYO INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/11/2007
-----------------------------------------------------
Last Update Date | 09/11/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR. #2 KM 129.3 BO. VICTORIA
-----------------------------------------------------
City | AGUADILLA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-370-2833
-----------------------------------------------------
Fax | 787-998-0465
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | COND. PLAZA DEL MAR APT 1206 AVE. ISLA VERDE #3001
-----------------------------------------------------
City | CAROLINA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00979
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-370-2833
-----------------------------------------------------
Fax | 787-998-0465
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MRS. MEICY YOCIBEL VARGAS
-----------------------------------------------------
Credential | MHSA
-----------------------------------------------------
Telephone | 787-370-2833
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------