Gooddwill Medical Equipment

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1259650001 Issued in PR

Legal business name

GOODDWILL MEDICAL EQUIPMENT

Practice address

Calle Ramon Saavedra Esq Linares 107
Quebradillas, PR 00678

Phone

(787) 895-8332

Fax

(787) 895-8332

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lillian Aviles

Title

Administrator

Phone

(787) 895-8332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407881949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1495",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781495",
            "telephone_number": "787-895-8332",
            "fax_number": "787-895-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE RAMON SAAVEDRA ESQ LINARES 107",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "00678",
            "telephone_number": "787-895-8332",
            "fax_number": "787-895-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODDWILL MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AVILES",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-895-8332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "1259650001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sofia I Gonzalez Velez, MT
• Frederick Saul Gonzalez-Roman
• Camilo Leopoldo Gonzalez
• Jose Manuel Gonzalez, BS.,SLT
• Maria Gonzalez
• Katty Marie Guzman Alvarez
• Hector Martinez Bonet
• Marie M Henriquez
• Lissette Heredia Perez, PSY D
• Marta Hernandez Hernandez

• Durable Medical Equipment & Medical Supplies in Quebradillas, PR
• Providers in Quebradillas, PR by specialty
• 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 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.