El Salvador Medical and Homecare Equipment, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

08P2350 Issued in PR

Legal business name

EL SALVADOR MEDICAL AND HOMECARE EQUIPMENT, INC.

Practice address

Plaza Jardines Suite 7
Vega Baja, PR 00693

Phone

(787) 807-1111

Fax

(787) 807-1111

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Guillermo Gerardo Reyes-Ortiz

Title

Presidente

Phone

(787) 807-1111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1689781700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006941450",
            "telephone_number": "787-807-1111",
            "fax_number": "787-807-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZA JARDINES SUITE 7",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-807-1111",
            "fax_number": "787-807-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL SALVADOR MEDICAL AND HOMECARE EQUIPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "REYES-ORTIZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_middle_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-807-1111"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "PR",
            "license": "08P2350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH MEDICARE",
            "identifier": "6187",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Oxygen Equipment & Supplies (DME) in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Oxygen Equipment & Supplies (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.