Equipos Pro Convalecencia

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

F12857 Issued in PR

Legal business name

EQUIPOS PRO CONVALECENCIA

Doing business as

equipos pro convalecencia

Practice address

RR 37 Box 1870
San Juan, PR 00926-9804

Phone

(787) 751-1550

Fax

(787) 763-5807

NPI assigned

Dec 21, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jaime Pla Cortes, MS

Title

President

Phone

(787) 751-1550

Specialties & licenses 1

Addresses

Other names 1

• equipos pro convalecencia Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1184600231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 37 BOX 1870",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269728",
            "telephone_number": "787-751-1550",
            "fax_number": "787-763-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 37 BOX 1870",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269804",
            "telephone_number": "787-751-1550",
            "fax_number": "787-763-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPOS PRO CONVALECENCIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "PLA CORTES",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-751-1550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "F12857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "equipos pro convalecencia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in San Juan, PR
• Providers in San Juan, PR by specialty
• Durable Medical Equipment & Medical Supplies in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.