Organization Active NPI

Absolife FMS Corp

  • Durable Medical Equipment & Medical Supplies
  • San Juan, PR
National Provider Identifier
1285018457
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ABSOLIFE FMS CORP
Practice address
641 Ave Andalucia
San Juan, PR 00920-5308
Phone
(787) 703-5555
Fax
(787) 301-0304
NPI assigned
Jul 16, 2015
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Angel M Santiago
Title
Owner
Phone
(787) 703-5555

Specialties & licenses 1

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

Addresses

Primary practice location

641 Ave Andalucia
San Juan, PR 00920-5308

Mailing address

PO Box 6868
Bayamon, PR 00960-5868
Phone (787) 703-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200409001907 PR DME Supplier - Medical Supply Company 6901235183 Practice locations: San Juan, PR

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Absolife FMS Corp641 Ave Andalucia, San Juan, PR 00920-5308(787) 703-5555 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|External Infusion Pumps and/or Supplies|Insulin Infusion Pumps and/or Supplies|Walkers|Ostomy Supplies|Urological Supplies|Nebulizer Equipment and/or Supplies|Surgical Dressings Does not accept assignmentParticipating since Feb 14, 2020

National Provider Directory

National Provider Directory

Locations

C6 Ave Luis Munoz Marin
Caguas, PR 00725

420 Ave Ponce de Leon
Ste 901
San Juan, PR 00918
Phone (787) 703-5555

641 Ave Andalucia
San Juan, PR 00920
Phone (787) 592-3911

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1285018457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6868",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009605868",
            "telephone_number": "787-703-5555",
            "fax_number": "787-301-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "641 AVE ANDALUCIA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009205308",
            "telephone_number": "787-703-5555",
            "fax_number": "787-301-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLIFE FMS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-703-5555"
    },
    "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 Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.