Equipmedic Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

B-24264 Issued in PR

Legal business name

EQUIPMEDIC CORP

Practice address

If29 Ave Lomas Verdes
Bayamon, PR 00956-3114

Phone

(787) 798-1798

Fax

(787) 778-7651

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Otto Ostolaza

Title

President

Phone

(787) 798-1798

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356432728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192469",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009192469",
            "telephone_number": "787-798-1798",
            "fax_number": "787-778-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "IF29 AVE LOMAS VERDES",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009563114",
            "telephone_number": "787-798-1798",
            "fax_number": "787-778-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPMEDIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OSTOLAZA",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-798-1798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "B-24264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.