Primedical Supply & Equipment, Corp.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRIMEDICAL SUPPLY & EQUIPMENT, CORP.

Practice address

418 Calle Agueybana
Urb El Vedado
San Juan, PR 00918-3316

Phone

(787) 773-0833

Fax

(787) 773-0866

NPI assigned

Feb 7, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Luis Hiram Gonzalez

Title

President

Phone

(787) 773-0833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669444238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 CALLE AGUEYBANA",
            "address_2": "URB EL VEDADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183316",
            "telephone_number": "787-773-0833",
            "fax_number": "787-773-0866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 CALLE AGUEYBANA",
            "address_2": "URB EL VEDADO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183316",
            "telephone_number": "787-773-0833",
            "fax_number": "787-773-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMEDICAL SUPPLY & EQUIPMENT, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "HIRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-773-0833",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care & OB GYN
• Primary Care Medical Services, LLC
• Primary Physician Care PSC
• Prime Health LLC
• Primedical LLC
• Primeros Auxilios, Inc.
• Lizangeli Principe, MA
• Priority Life Inc
• Privatemed Health LLC
• Prnet, Corp.

• 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 Jul 21, 2022; 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.