Organization Active NPI

MC Medical & Rehab Store Inc

  • Durable Medical Equipment & Medical Supplies
  • Carolina, PR
National Provider Identifier
1124055108
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
MC MEDICAL & REHAB STORE INC
Practice address
Roberto Clemente Ave
BLQ 117 #3 Villa Carolina
Carolina, PR 00985
Phone
(787) 661-6555
Fax
(787) 276-2683
NPI assigned
Jun 27, 2006
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
Mrs. Irma Martinez
Title
President
Phone
(787) 661-6555

Specialties & licenses 1

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

Addresses

Primary practice location

Roberto Clemente Ave
BLQ 117 #3 Villa Carolina
Carolina, PR 00985

Mailing address

Calle Portugal
445 Vistamar
Carolina, PR 00983
Phone (787) 661-6555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124055108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE PORTUGAL",
            "address_2": "445 VISTAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "787-661-6555",
            "fax_number": "787-276-2683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROBERTO CLEMENTE AVE",
            "address_2": "BLQ 117 #3 VILLA CAROLINA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-661-6555",
            "fax_number": "787-276-2683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC MEDICAL & REHAB STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-661-6555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, 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.