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Organization Active NPI

Puerta de Luz Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Lawrence, MA
National Provider Identifier
1467632174
Registry record updated Aug 21, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
S30116967 Issued in MA
Legal business name
PUERTA DE LUZ MEDICAL SUPPLIES INC
Practice address
114 Hancock St # a
Lawrence, MA 01841-5055
Phone
(978) 884-5523
Fax
(978) 655-1733
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Melvin Santiago
Title
President
Phone
(978) 884-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X S30116967 MA Primary

Addresses

Primary practice location

114 Hancock St # a
Lawrence, MA 01841-5055

Mailing address

PO Box 636
Methuen, MA 01844
Phone (978) 884-5523

Other names 1

  • PUERTA DE LUZ MEDICAL SUPPLIES Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1467632174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "01844",
            "telephone_number": "978-884-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 HANCOCK ST # A",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018415055",
            "telephone_number": "978-884-5523",
            "fax_number": "978-655-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUERTA DE LUZ MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-884-5523"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MA",
            "license": "S30116967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUERTA DE LUZ MEDICAL SUPPLIES",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.