El Redentor Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EL REDENTOR MEDICAL SUPPLIES, INC

Practice address

5 Calle Celis Aguilera
Manati, PR 00674-5171

Phone

(787) 904-3404

Fax

(787) 854-9100

NPI assigned

Aug 14, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Licette Maldonado

Title

President

Phone

(787) 904-3404

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1245486828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2338",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742338",
            "telephone_number": "787-904-3404",
            "fax_number": "787-854-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CALLE CELIS AGUILERA",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745171",
            "telephone_number": "787-904-3404",
            "fax_number": "787-854-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL REDENTOR MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "LICETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-904-3404",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Manati, PR by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.