Organization Active NPI

Hato Rey Medical Supplies & Equipments LLC

  • Durable Medical Equipment & Medical Supplies
  • San Juan, PR
National Provider Identifier
1457727851
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DN011492 Issued in GA
Legal business name
HATO REY MEDICAL SUPPLIES & EQUIPMENTS LLC
Practice address
24 Calle Mayaguez
Hato Rey
San Juan, PR 00917-4916
Phone
(787) 504-4000
NPI assigned
Aug 19, 2015
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Damaries Candelario, DMD MPH
Title
President
Phone
(787) 504-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DN011492 GA Primary

Addresses

Primary practice location

24 Calle Mayaguez
Hato Rey
San Juan, PR 00917-4916

Mailing address

24 Calle Mayaguez
Hato Rey
San Juan, PR 00917-4916
Phone (787) 504-4000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1457727851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 CALLE MAYAGUEZ",
            "address_2": "HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174916",
            "telephone_number": "787-504-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 CALLE MAYAGUEZ",
            "address_2": "HATO REY",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009174916",
            "telephone_number": "787-504-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HATO REY MEDICAL SUPPLIES & EQUIPMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "CANDELARIO",
        "authorized_official_first_name": "DAMARIES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-504-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD MPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "DN011492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.