MEDICARE: GPP SERVICES SUPPLIES 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		PR
2	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1811239908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GPP SERVICES SUPPLIES CORP

Provider Business Mailing Address
First Line	:	1007 CALLE GEN DEL VALLE
Second Line	:	URB LAS DELICIAS
City	:	SAN JUAN
State	:	PR
Zip	:	00924-3722
Country	:	US
Telephone Number	:	787-754-9911
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 CALLE GEN DEL VALLE
Second Line	:	URB LAS DELICIAS
City	:	SAN JUAN
State	:	PR
Zip	:	00924-3722
Country	:	US
Telephone Number	:	787-754-9911
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GASPAR POZO PERELLO
Credential	:
Telephone Number	:	787-754-9911

Provider Enumeration Date	:	03/27/2013
Last Update Date	:	12/12/2013

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Directions to “GPP SERVICES SUPPLIES CORP ” Practice Location

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