Prime Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5279180001 Issued in PR

Legal business name

PRIME MEDICAL SUPPLY INC

Practice address

Q29 Ave L Munoz Marin
Urb Villa del Carmen
Caguas, PR 00725-6158

Phone

(787) 744-5040

Fax

(787) 850-3800

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jaime Rivera, PROPIETARY

Title

Director

Phone

(787) 744-5040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194894758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1374",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781374",
            "telephone_number": "787-744-5040",
            "fax_number": "787-850-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "Q29 AVE L MUNOZ MARIN",
            "address_2": "URB VILLA DEL CARMEN",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007256158",
            "telephone_number": "787-744-5040",
            "fax_number": "787-850-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-744-5040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PROPIETARY"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "5279180001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Liz Prieto Estrada, PHARMD
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• Prime Urology Puerto Rico LLC
• Primed LLC
• Pro Health Management Care LLC
• Pro Vision Optical LLC
• Pro-Care Ambulance Services Inc.

• Durable Medical Equipment & Medical Supplies in Caguas, PR
• Providers in Caguas, 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 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.