MEDICARE: HAMID, CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies	07-F1040	PR
2	333600000X	Pharmacy	07-01934-9	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4018645	OTHER		NPPC

General Provider Information

NPI Number	:	1083782270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAMID, CORP.

Provider Business Mailing Address
First Line	:	PO BOX 25247
Second Line	:	SAN JUAN
City	:	SAN JUAN
State	:	PR
Zip	:	00928-5247
Country	:	US
Telephone Number	:	787-763-9536
Fax Number	:

Provider Business Practice Location Address
First Line	:	870 CALLE LAS MARIAS
Second Line	:	HYDE PARK
City	:	SAN JUAN
State	:	PR
Zip	:	00927-4209
Country	:	US
Telephone Number	:	787-763-9545
Fax Number	:

Authorized Official
Title or Position	:	PRESIDANT
Name	:	HASSAN SABRI HAMID
Credential	:
Telephone Number	:	787-763-9536

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	10/20/2011

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Directions to “HAMID, CORP. ” Practice Location

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