Organization Active NPI

Simple Medical Services of PR, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Vega Alta, PR
National Provider Identifier
1265420160
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SIMPLE MEDICAL SERVICES OF PR, INC.
Practice address
Calle Lusi Munoz Rivera 14
Vega Alta, PR 00692
Phone
(787) 270-3589
Fax
(787) 270-3589
NPI assigned
Oct 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Ms. Daisy Anne Garcia
Title
President
Phone
(787) 270-3589

Specialties & licenses 1

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

Addresses

Primary practice location

Calle Lusi Munoz Rivera 14
Vega Alta, PR 00692

Mailing address

Calle Tapia 111
San Juan, PR 00911
Phone (787) 270-3589

Other identifiers 1

IdentifierTypeStateIssuer
1219740001OtherPRDMERC SUPPLIER ID

National Provider Directory

National Provider Directory

Locations

14 Calle Munoz Rivera
Vega Alta, PR 00692
Phone (787) 270-3589

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1265420160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE TAPIA 111",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-270-3589",
            "fax_number": "787-270-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE LUSI MUNOZ RIVERA 14",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "00692",
            "telephone_number": "787-270-3589",
            "fax_number": "787-270-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE MEDICAL SERVICES OF PR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "DAISY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-270-3589",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER ID",
            "identifier": "1219740001",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; 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.