Ismael Medical Supplies Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5610490001 Issued in PR

Legal business name

ISMAEL MEDICAL SUPPLIES CORP

Practice address

Ave Campo Rico 861
Urb. Country Club
San Juan, PR 00924

Phone

(787) 762-0044

Fax

(787) 768-0044

NPI assigned

Jul 20, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yussef Ismael

Title

President

Phone

(787) 762-0044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1417977927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE CAMPO RICO 861",
            "address_2": "URB. COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE CAMPO RICO 861",
            "address_2": "URB. COUNTRY CLUB",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-762-0044",
            "fax_number": "787-768-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISMAEL MEDICAL SUPPLIES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ISMAEL",
        "authorized_official_first_name": "YUSSEF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-762-0044"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "5610490001",
            "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 Jul 21, 2022; 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.