=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750312310
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LE MEDICAL &HOSPITAL SUPPLY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/05/2006
-----------------------------------------------------
Last Update Date | 11/14/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CALLE MARGINAL #N-42 URB. JARDINES FAGOT
-----------------------------------------------------
City | PONCE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00716-2304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-841-3033
-----------------------------------------------------
Fax | 787-812-5384
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 34069
-----------------------------------------------------
City | PONCE
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00734-4069
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-841-3033
-----------------------------------------------------
Fax | 787-812-5384
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | ESTEBAN L BENITO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-841-3033
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------