Organization Active NPI

Pro Health Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • San German, PR
National Provider Identifier
1063506715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRO HEALTH MEDICAL SUPPLY
Practice address
Calle Dr. Veve #57
San German, PR 00683
Phone
(787) 892-5772
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eileen Pinares
Title
Manager
Phone
(787) 892-5772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

Calle Dr. Veve #57
San German, PR 00683

Mailing address

PO Box 3376
Lajas, PR 00667
Phone (787) 892-5772

National Provider Directory

National Provider Directory

Locations

57 Calle Dr Santiago Veve
San German, PR 00683
Phone (787) 892-5772

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063506715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3376",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "00667",
            "telephone_number": "787-892-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE DR. VEVE #57",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "00683",
            "telephone_number": "787-892-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PINARES",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "787-892-5772"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San German, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.