MEDICARE: PATIENT HEALTH INDUSTRIES, 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		PR

General Provider Information

NPI Number	:	1760413553
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT HEALTH INDUSTRIES, INC.

Provider Business Mailing Address
First Line	:	SIERRA MORENA ST 262 B
Second Line	:	URB LAS CUMBRES
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00926-0000
Country	:	US
Telephone Number	:	787-708-0029
Fax Number	:	787-708-6810

Provider Business Practice Location Address
First Line	:	SIERRA MORENA ST 262 B
Second Line	:	URB LAS CUMBRES
City	:	RIO PIEDRAS
State	:	PR
Zip	:	00926-0000
Country	:	US
Telephone Number	:	787-708-0029
Fax Number	:	787-708-6810

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NORA MILAGROS QUINONES
Credential	:	CMF
Telephone Number	:	787-708-0029

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	08/22/2020

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