Diabetic Center & Hospital Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DI0300C Issued in PR

Legal business name

DIABETIC CENTER & HOSPITAL SUPPLY INC

Practice address

2743 Calle Las Carrozas
Urb Perla del Sur
Ponce, PR 00717-0407

Phone

(787) 284-3997

Fax

(787) 843-0014

NPI assigned

Oct 26, 2005

Last updated

Oct 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ramon Bonilla

Title

President

Phone

(787) 284-3997

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318032000000",
    "number": "1730179185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8746",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328746",
            "telephone_number": "787-284-3997",
            "fax_number": "787-284-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2743 CALLE LAS CARROZAS",
            "address_2": "URB PERLA DEL SUR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170407",
            "telephone_number": "787-284-3997",
            "fax_number": "787-843-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETIC CENTER & HOSPITAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2011-10-08",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "RAMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-284-3997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "DI0300C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMM HEALTHCARE",
            "identifier": "990168",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "50086DI",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PR",
            "identifier": "9000688",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derick E. Colon Lopez (Ponce Rehab)
• Derma-Care Aesthetic Medical Group Inc
• Deseares Clinica Psicologica LLC
• Amanda Cristina Detres Marquez
• Anna Maria Di Marco, M.D.
• Diabetic Solutions Corp
• Diamond Medical System Corp
• Nadja Diaz Baez, MD
• Nelson Carlos Diaz Baez, M.D.
• Soria L Diaz Baez, MD

• Durable Medical Equipment & Medical Supplies in Ponce, PR
• Providers in Ponce, 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 Oct 8, 2011; 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.