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NPI Code Detail

MEDICARE: EQUIPOS PRO CONVALECENCIA

MEDICARE: EQUIPOS PRO CONVALECENCIA
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
1332B00000XDurable Medical Equipment & Medical SuppliesF12857PR

General Provider Information

NPI Number : 1184600231
Entity Type Code : Organization
Provider Name (Legal Business Name) : EQUIPOS PRO CONVALECENCIA
Provider Business Mailing Address
First Line : RR 37 BOX 1870
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-9728
Country : US
Telephone Number : 787-751-1550
Fax Number : 787-763-5807
Provider Business Practice Location Address
First Line : RR 37 BOX 1870
Second Line :
City : SAN JUAN
State : PR
Zip : 00926-9804
Country : US
Telephone Number : 787-751-1550
Fax Number : 787-763-5807
Authorized Official
Title or Position : PRESIDENT
Name : MR. JAIME PLA CORTES
Credential : MS
Telephone Number : 787-751-1550
Provider Enumeration Date : 12/21/2005
Last Update Date : 04/08/2008

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Directions to “EQUIPOS PRO CONVALECENCIA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.