Organization Active NPI

Advanced Medical Supply,Corp.

  • Oxygen Equipment & Supplies (DME)
  • Quebradillas, PR
National Provider Identifier
1639301625
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
ADVANCED MEDICAL SUPPLY,CORP.
Practice address
64 Calle San Carlos
Quebradillas, PR 00678-1734
Phone
(787) 895-0666
NPI assigned
Aug 10, 2009
Last updated
Aug 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Mr. Jose E Estevez
Title
President
Phone
(787) 895-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

64 Calle San Carlos
Quebradillas, PR 00678-1734

Mailing address

HC 3 Box 24071
San German, PR 00683-9736
Phone (787) 895-0666

Other identifiers 2

IdentifierTypeStateIssuer
840128OtherPRM.M.M.
50089OtherPRPMC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1639301625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 24071",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006839736",
            "telephone_number": "787-895-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 CALLE SAN CARLOS",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006781734",
            "telephone_number": "787-895-0666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL SUPPLY,CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "ESTEVEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-895-0666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M.M.M.",
            "identifier": "840128",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMC",
            "identifier": "50089",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; 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.