Active NPI
Recover Care Medical Equipment, Inc.
- Durable Medical Equipment & Medical Supplies
- San Juan, PR
National Provider Identifier
1497842652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 114558
- Legal business name
- RECOVER CARE MEDICAL EQUIPMENT, INC.
- Practice address
- 580 Ave de Diego
Bajos
San Juan, PR 00920-3723 - Phone
- (787) 620-5574
- Fax
- (787) 620-5582
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carmmen Santiago, DR PH.
- Title
- Ceo
- Phone
- (817) 310-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 114558 | PR | Primary |
Addresses
Primary practice location
580 Ave de Diego
Bajos
San Juan, PR 00920-3723
Mailing address
1110 N Carroll Ave
Southlake, TX 76092-5306
Phone (817) 310-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114558 | Other | PR | STATE LICENSE NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204502400000",
"number": "1497842652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 N CARROLL AVE",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760925306",
"telephone_number": "817-310-1100",
"fax_number": "817-310-1197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 AVE DE DIEGO",
"address_2": "BAJOS",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009203723",
"telephone_number": "787-620-5574",
"fax_number": "787-620-5582"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RECOVER CARE MEDICAL EQUIPMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2008-03-03",
"status": "A",
"authorized_official_last_name": "SANTIAGO",
"authorized_official_first_name": "CARMMEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-310-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DR PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PR",
"license": "114558",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "114558",
"state": "PR"
}
],
"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 Mar 3, 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.