Active NPI
Absolife FMS Corp
- Durable Medical Equipment & Medical Supplies
- San Juan, PR
National Provider Identifier
1285018457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200409001907 | PR | DME Supplier - Medical Supply Company | 6901235183 | Practice locations: San Juan, PR |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Absolife FMS Corp | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.