Nazareno Enterprises and Services LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

NAZARENO ENTERPRISES AND SERVICES LLC

Practice address

28 Calle Santa Cruz
Bayamon, PR 00961-6906

Phone

(787) 740-2934

NPI assigned

Aug 30, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Raimundo Matos

Title

Senior Vice President

Phone

(787) 740-2934

Specialties & licenses 1

Addresses

Other names 1

• Nazareno Enterprises and Services LLC Former legal business name

Tax ID family

Nazareno Enterprises and Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nazareno Enterprises and Services LLC

  • Prosthetic/Orthotic Supplier
  • Bayamon, PR
  • NPI 1902808108
  NPD tax ID

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1740838986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616906",
            "telephone_number": "787-740-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616906",
            "telephone_number": "787-740-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZARENO ENTERPRISES AND SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "RAIMUNDO",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "787-740-2934",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nazareno Enterprises and Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Neida Navedo
• Nazareno Enterprises and Services LLC
• Virna Marie Nazario Ayala
• Javier Andres Nazario Larrieu, M.D.
• Ana M Nazario, PT
• Stephanie Nazario, PSY.D

• Customized Equipment (DME) in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Customized Equipment (DME) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.