Organization Active NPI

San Pablo Medical

  • Durable Medical Equipment & Medical Supplies
  • Bayamon, PR
National Provider Identifier
1154445872
Registry record updated Nov 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAN PABLO MEDICAL
Practice address
Calle Santa Rosa Cruz 68
Torre San Pablo Suite 1a
Bayamon, PR 00961
Phone
(787) 786-8895
Fax
(787) 786-8895
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2007

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

Authorized official

Name
Samuel Vazquez
Title
President
Phone
(787) 786-8895

Specialties & licenses 1

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

Addresses

Primary practice location

Calle Santa Rosa Cruz 68
Torre San Pablo Suite 1a
Bayamon, PR 00961

Mailing address

PO Box 610
Mayaguez, PR 00681-0610
Phone (787) 786-8895

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1154445872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 610",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006810610",
            "telephone_number": "787-786-8895",
            "fax_number": "787-786-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE SANTA ROSA CRUZ 68",
            "address_2": "TORRE SAN PABLO SUITE 1A",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-786-8895",
            "fax_number": "787-786-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN PABLO MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "VAZQUEZ",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-786-8895"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; 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.