Organization Active NPI

SJM Supplies Inc

  • Prosthetic/Orthotic Supplier
  • Guanica, PR
National Provider Identifier
1043557044
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
SJM SUPPLIES INC
Practice address
Main St 116
Guanica, PR 00653-0000
Phone
(787) 610-0656
NPI assigned
Jan 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Loisselt Acosta
Title
Owner
Phone
(787) 610-0656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X PR Primary

Addresses

Primary practice location

Main St 116
Guanica, PR 00653-0000

Mailing address

PO Box 5167
Yauco, PR 00698-5167
Phone (787) 610-0656

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357776000000",
    "number": "1043557044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5167",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "006985167",
            "telephone_number": "787-610-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN ST 116",
            "city": "GUANICA",
            "state": "PR",
            "postal_code": "006530000",
            "telephone_number": "787-610-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SJM SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-10",
        "last_updated": "2013-01-10",
        "status": "A",
        "authorized_official_last_name": "ACOSTA",
        "authorized_official_first_name": "LOISSELT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-610-0656"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guanica, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.