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NPI 1528161577

NPI 1528161577 : POMALES MEDICAL EQUIPMENT, INC : CIALES, PR

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General NPI Number Information
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    NPI Number           |    1528161577
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    Entity Type          |    Organization 
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    Legal Business Name  |    POMALES MEDICAL EQUIPMENT, INC 
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Dates
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    Enumeration Date     |    09/06/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    CARR 149 KM 15 4 BO JAGUAS 
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    City                 |    CIALES
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    State                |    PR
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    Zip                  |    00638
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    Country              |    US
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    Telephone            |    787-867-0581
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    URB ENCANTADA AVENTURA SUITE 7603
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    City                 |    TRUJILLO ALTO
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    State                |    PR
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    Zip                  |    00976
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    Country              |    US
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    Telephone            |    787-867-0581
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    Fax                  |    787-867-0581
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MAGDALENA  POMALES 
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    Credential           |    
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    Telephone            |    787-867-0581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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