MEDICARE: ADAPTA HEALTH SOLUTION LLC

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	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1528767415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADAPTA HEALTH SOLUTION LLC

Provider Business Mailing Address
First Line	:	740 AVE HOSTOS STE 316
Second Line	:	MEDICAL CENTER PLAZA
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-1541
Country	:	US
Telephone Number	:	939-323-2191
Fax Number	:

Provider Business Practice Location Address
First Line	:	740 AVE HOSTOS STE 316
Second Line	:	MEDICAL CENTER PLAZA
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-1541
Country	:	US
Telephone Number	:	939-323-2191
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANA DEL CARMEN ECHEVARRIA GALLOZA
Credential	:
Telephone Number	:	787-922-7528

Provider Enumeration Date	:	02/28/2023
Last Update Date	:	02/28/2023

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Directions to “ADAPTA HEALTH SOLUTION LLC ” Practice Location

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