Equipo Medico de Gurabo, Corp.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

RFO01356 Issued in PR

Legal business name

EQUIPO MEDICO DE GURABO, CORP.

Practice address

7St. El Vivero F2
Gurabo, PR 00778-2338

Phone

(787) 737-0840

Fax

(787) 737-6088

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jose Raul Cancelado Boavita

Title

Vice President

Phone

(787) 391-0099

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1487716338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ST. EL VIVERO F2",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007782338",
            "telephone_number": "787-737-0840",
            "fax_number": "787-737-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7ST. EL VIVERO F2",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007782338",
            "telephone_number": "787-737-0840",
            "fax_number": "787-737-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIPO MEDICO DE GURABO, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CANCELADO BOAVITA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "RAUL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "787-391-0099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "97337",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PR",
            "license": "RFO01356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "50398",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "55220",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INMEDIATA",
            "identifier": "EQUIPOME01 EQ2005",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Gurabo, PR
• Providers in Gurabo, PR by specialty
• Prosthetic/Orthotic Supplier in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.