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NPI Code Detail

MEDICARE: MC MEDICAL INC

MEDICARE: MC MEDICAL 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
1227900000XRegistered Respiratory Therapist
2332BP3500XParenteral & Enteral Nutrition Supplies (DME)MC0100CPR
3332BX2000XOxygen Equipment & Supplies (DME)MC0100CPR
4332B00000XDurable Medical Equipment & Medical SuppliesMC0100CPR

General Provider Information

NPI Number : 1427052059
Entity Type Code : Organization
Provider Name (Legal Business Name) : MC MEDICAL INC
Provider Business Mailing Address
First Line : PO BOX 328
Second Line :
City : MERCEDITA
State : PR
Zip : 00715-0328
Country : US
Telephone Number : 787-841-6355
Fax Number : 787-844-0309
Provider Business Practice Location Address
First Line : 1266 AVE HOSTOS
Second Line : SUITE 102
City : PONCE
State : PR
Zip : 00717-0947
Country : US
Telephone Number : 787-841-6355
Fax Number : 787-844-0309
Authorized Official
Title or Position : CEO / PRESIDENT
Name : MRS. MILDRED COLLAZO HERNANDEZ
Credential : RN
Telephone Number : 787-841-6355
Provider Enumeration Date : 06/10/2005
Last Update Date : 09/22/2010

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Directions to “MC MEDICAL INC ” Practice Location

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