Active NPI
SJM Supplies Inc
- Prosthetic/Orthotic Supplier
- Guanica, PR
National Provider Identifier
1043557044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.