T. D. Medical, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

15747-F Issued in PR

Legal business name

T. D. MEDICAL, INC.

Practice address

208 Calle Mendez Vigo W
Mayaguez, PR 00682-3234

Phone

(787) 652-3683

Fax

(787) 652-3680

NPI assigned

May 12, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Edward Sherron, ATP

Title

President

Phone

(954) 921-9099

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1431388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512086400000",
    "number": "1457739237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 N 29TH AVE",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330201313",
            "telephone_number": "954-921-9099",
            "fax_number": "954-921-1937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 CALLE MENDEZ VIGO W",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006823234",
            "telephone_number": "787-652-3683",
            "fax_number": "787-652-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. D. MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-12",
        "last_updated": "2017-12-01",
        "status": "A",
        "authorized_official_last_name": "SHERRON",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-921-9099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PR",
            "license": "15747-F",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209238779",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209238700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672210596",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ines Russo Suarez, DMD
• Luis J Suau, MD
• Patricio Javier Sumaza, DMD
• Sunset Imaging, PSC
• Syd Global Medical Group Puerto Rico Inc
• T.F.C.-Terapia Fisica Con Calidad, C.S.P.
• Wilmer Omar Tacoronte Velez, MD
• Carla Tamayo, MD
• Adriana Tanon, MA
• Argenys Taveras, LMSW

• Customized Equipment (DME) in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Customized Equipment (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; 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.