S.G. Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1514C Issued in PR

Legal business name

S.G. MEDICAL SUPPLY INC.

Practice address

50 Ave Liborio Lopez
Sabana Grande, PR 00637-2032

Phone

(787) 804-0268

Fax

(787) 804-0268

NPI assigned

Sep 29, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jose L. Flores

Title

President

Phone

(787) 804-0268

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1366439960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 AVE LIBORIO LOPEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006372032",
            "telephone_number": "787-804-0268",
            "fax_number": "787-804-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 AVE LIBORIO LOPEZ",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006372032",
            "telephone_number": "787-804-0268",
            "fax_number": "787-804-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.G. MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-804-0268",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "1514C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "50378",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruben Lorenz Roman Gil
• Juan C Roman-Feliciano Sr., MD
• Limary Rosado Vidro, M.D.
• Lemuel Ruiz Mercado
• Janne Ruiz
• Sabana Grande Medical Supply
• Daritza L Sanchez Santana
• Iliana Esther Sanchez-Saez, RPH
• Mario Santaella Maldonado, MD
• Francheska Milagros Santiago Flores, MSPT

• All providers in Sabana Grande, PR
• Durable Medical Equipment & Medical Supplies in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.