MEDICARE: INTEGRATED SECURITY SOLUTIONS 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

General Provider Information

NPI Number	:	1841576642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INTEGRATED SECURITY SOLUTIONS INC

Provider Business Mailing Address
First Line	:	Q6 PARQ DE LOS ANGELES
Second Line	:	BAIROA PARK
City	:	CAGUAS
State	:	PR
Zip	:	00727-1230
Country	:	US
Telephone Number	:	787-299-0352
Fax Number	:

Provider Business Practice Location Address
First Line	:	Q6 PARQ DE LOS ANGELES
Second Line	:	BAIROA PARK
City	:	CAGUAS
State	:	PR
Zip	:	00727-1230
Country	:	US
Telephone Number	:	787-299-0352
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GIORGIO ULISSE PASSALACQUA
Credential	:
Telephone Number	:	787-299-0352

Provider Enumeration Date	:	10/25/2011
Last Update Date	:	10/25/2011

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