MEDICARE: AGA LINDE HEALTHCARE PR INC

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	08-F-2427	PR

General Provider Information

NPI Number	:	1407833304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGA LINDE HEALTHCARE PR INC

Provider Business Mailing Address
First Line	:	PO BOX 364727
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00936-4727
Country	:	US
Telephone Number	:	787-620-8120
Fax Number	:	787-620-8267

Provider Business Practice Location Address
First Line	:	CARR 869 KM 2.0 PALMAS VILLAGE
Second Line	:	BO. PALMAS
City	:	CATANO
State	:	PR
Zip	:	00962
Country	:	US
Telephone Number	:	787-620-8120
Fax Number	:	787-620-8267

Authorized Official
Title or Position	:	VICE PRESIDENT - HOMECARE
Name	:	RICARDO MORALES
Credential	:
Telephone Number	:	787-620-8120

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	08/22/2020

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