PR Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PR MEDICAL SUPPLY

Practice address

20 Ave Campo Rico Loc
Centro Comercial
Carolina, PR 00983

Phone

(813) 305-6251

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Emilio Jose Concepcion Garcia

Title

Ceo

Phone

(813) 305-6251

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1427732882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AVE CAMPO RICO LOC",
            "address_2": "CENTRO COMERCIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AVE CAMPO RICO LOC",
            "address_2": "CENTRO COMERCIAL",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00983",
            "telephone_number": "813-305-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PR MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "CONCEPCION GARCIA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-305-6251"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• PR Professional Medical Services
• PR Vision Inc
• PR Wheelchair Service Inc

• Durable Medical Equipment & Medical Supplies in Carolina, PR
• Providers in Carolina, 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 Jun 14, 2023; 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.