Ea Sport Medical Equipment

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

EA SPORT MEDICAL EQUIPMENT

Practice address

St 194 KM 3.0
Local 1
Fajardo, PR 00738

Phone

(787) 909-8975

Fax

(787) 863-7199

NPI assigned

Jan 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Enrique Jose Figueroa

Title

Administrator

Phone

(787) 909-8975

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1326067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326067200000",
    "number": "1326318387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2F24 CALLE 6",
            "address_2": "VISTAS DEL CONVENTO",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007383207",
            "telephone_number": "787-909-8975",
            "fax_number": "787-863-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST 194 KM 3.0",
            "address_2": "LOCAL 1",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-909-8975",
            "fax_number": "787-863-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EA SPORT MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-09",
        "last_updated": "2012-01-09",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-909-8975",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Customized Equipment (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.