Sun Rise Medical Equipment Corp.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

1 Issued in PR

Legal business name

SUN RISE MEDICAL EQUIPMENT CORP.

Practice address

#54 Calle Matienzo Cintron
PMB4
Luquillo, PR 00773-0000

Phone

(787) 889-2599

Fax

(787) 889-2599

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jos V Santiago, --

Title

Gerente General

Phone

(787) 860-9259

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1063453843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 ROSENDO MATIENZO CINTRON",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "00773",
            "telephone_number": "787-889-2599",
            "fax_number": "787-889-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#54 CALLE MATIENZO CINTRON",
            "address_2": "PMB4",
            "city": "LUQUILLO",
            "state": "PR",
            "postal_code": "007730000",
            "telephone_number": "787-889-2599",
            "fax_number": "787-889-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN RISE MEDICAL EQUIPMENT CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "JOS",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "GERENTE GENERAL",
        "authorized_official_telephone_number": "787-860-9259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "57599",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICAL",
            "identifier": "50445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.