MEDICARE: MEDICAL CARE SPECIALISTS 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	5366430001	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5-7346-ME	OTHER	PR	TRIPLE S PROVIDER

General Provider Information

NPI Number	:	1184686966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL CARE SPECIALISTS CORP.

Provider Business Mailing Address
First Line	:	1462 CALLE EDEN
Second Line	:	CAPARRA HEIGHTS
City	:	SAN JUAN
State	:	PR
Zip	:	00920
Country	:	US
Telephone Number	:	787-706-8125
Fax Number	:	787-706-8220

Provider Business Practice Location Address
First Line	:	CONSTITUCION 403
Second Line	:	PUERTO NUEVO
City	:	SAN JUAN
State	:	PR
Zip	:	00920-0000
Country	:	US
Telephone Number	:	787-781-8318
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JOSE D. PEREZ LOPEZ
Credential	:
Telephone Number	:	787-706-8125

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	10/08/2010

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Directions to “MEDICAL CARE SPECIALISTS CORP. ” Practice Location

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