MEDICARE: L & Y MEDICAL EQUIPMENT 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
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1750662318
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & Y MEDICAL EQUIPMENT CORP

Provider Business Mailing Address
First Line	:	1007 CALLE GEN DEL VALLE
Second Line	:	URBANIZACION LAS DELICIAS
City	:	SAN JUAN
State	:	PR
Zip	:	00924
Country	:	US
Telephone Number	:	787-218-9901
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 CALLE GEN DEL VALLE
Second Line	:	URBANIZACION LAS DELICIAS
City	:	SAN JUAN
State	:	PR
Zip	:	00924-3722
Country	:	US
Telephone Number	:	787-218-9901
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LILIANA RAMOS
Credential	:
Telephone Number	:	787-218-9901

Provider Enumeration Date	:	09/08/2011
Last Update Date	:	09/08/2011

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