Sportmed International, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPORTMED INTERNATIONAL, LLC

Practice address

S3-11 Carr 21
Urb Las Lomas
San Juan, PR 00921-3345

Phone

(787) 534-3062

Fax

(888) 762-2577

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jorge Luis Nazario

Title

President

Phone

(787) 534-3062

Specialties & licenses 1

Addresses

Tax ID family

Sportmed International LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sportmed International, LLC.

  • Health Service Clinic/Center
  • Bayamon, PR
  • NPI 1063945996
  NPD tax ID

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477008000000",
    "number": "1467903708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "U12 CALLE 10",
            "address_2": "ALTURAS DE FLAMBOYAN",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598052",
            "telephone_number": "787-534-3062",
            "fax_number": "888-762-2577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S3-11 CARR 21",
            "address_2": "URB LAS LOMAS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009213345",
            "telephone_number": "787-534-3062",
            "fax_number": "888-762-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTMED INTERNATIONAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-10-21",
        "status": "A",
        "authorized_official_last_name": "NAZARIO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-534-3062",
        "authorized_official_name_prefix": "Mr."
    },
    "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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• Durable Medical Equipment & Medical Supplies in San Juan, PR
• Providers in San Juan, 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 Oct 21, 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.