Organization Active NPI

Puerto Rico Advance Medical Devices Corp

  • Durable Medical Equipment & Medical Supplies
  • San Juan, PR
National Provider Identifier
1194022145
Registry record updated Feb 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PUERTO RICO ADVANCE MEDICAL DEVICES CORP
Practice address
311 Ave Domenech
San Juan, PR 00918-3511
Phone
(787) 429-4369
NPI assigned
Feb 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2011

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

Authorized official

Name
Antonio Jesus Kraemer, BS
Title
President
Phone
(787) 429-4369

Specialties & licenses 1

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

Addresses

Primary practice location

311 Ave Domenech
San Juan, PR 00918-3511

Mailing address

35 Calle Juan C Borbon Ste 67-333
Guaynabo, PR 00969-5374
Phone (787) 429-4369

National Provider Directory

National Provider Directory

Locations

311 Ave Domenech
San Juan, PR 00918
Phone (787) 675-0050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298592000000",
    "number": "1194022145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON STE 67-333",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-429-4369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 AVE DOMENECH",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183511",
            "telephone_number": "787-429-4369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTO RICO ADVANCE MEDICAL DEVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2011-02-25",
        "status": "A",
        "authorized_official_last_name": "KRAEMER",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-429-4369",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; 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.