MEDICARE: PRO-CARE MEDICAL EQUIPMENT, 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	332BX2000X	Oxygen Equipment & Supplies (DME)	05-P-2121	PR
2	335E00000X	Prosthetic/Orthotic Supplier	RFO01652	PR

General Provider Information

NPI Number	:	1467452169
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO-CARE MEDICAL EQUIPMENT, INC.

Provider Business Mailing Address
First Line	:	2661 AVE LAS AMERICAS
Second Line	:	URB. CONSTANCIA
City	:	PONCE
State	:	PR
Zip	:	00717-2106
Country	:	US
Telephone Number	:	787-290-2720
Fax Number	:	787-841-2720

Provider Business Practice Location Address
First Line	:	2661 AVE LAS AMERICAS
Second Line	:	URB. CONSTANCIA
City	:	PONCE
State	:	PR
Zip	:	00717-2106
Country	:	US
Telephone Number	:	787-290-2720
Fax Number	:	787-841-2720

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ISMAEL MATEO RAMIREZ
Credential	:
Telephone Number	:	787-290-2720

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	09/11/2025

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