Medexpress Diabetic Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDEXPRESS DIABETIC SUPPLY

Practice address

324 Calle Palacios
Apt 4
San Juan, PR 00915-2165

Phone

(787) 636-6496

NPI assigned

Aug 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Rafael Rosario Peguero

Title

Propietario

Phone

(787) 636-6496

Specialties & licenses 2

Addresses

Other names 1

• MEDSPR Doing business as

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1649401654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 CALLE PALACIOS",
            "address_2": "APT 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009152165",
            "telephone_number": "787-636-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 CALLE PALACIOS",
            "address_2": "APT 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009152165",
            "telephone_number": "787-636-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS DIABETIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "PEGUERO",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ROSARIO",
        "authorized_official_title_or_position": "PROPIETARIO",
        "authorized_official_telephone_number": "787-636-6496",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "PR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDSPR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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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 Aug 7, 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.