Active NPI
Carlos Rafael Polo
- Durable Medical Equipment & Medical Supplies
- Bayamon, PR
National Provider Identifier
1801918610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 5 G-10 Riberas del Rio Dev.
Bayamon, PR 00959 - Phone
- (787) 473-2333
- Fax
- (787) 721-1688
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
5 G-10 Riberas del Rio Dev.
Bayamon, PR 00959
Mailing address
PO Box 1371
Saint Just, PR 00978-1371
Phone (787) 473-2333
Other names 1
- Mr. Milton Jose Mercado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Surg Corp | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Bayamon, PR
- NPI 1154581072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801918610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1371",
"city": "SAINT JUST",
"state": "PR",
"postal_code": "009781371",
"telephone_number": "787-473-2333",
"fax_number": "787-721-1688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 G-10 RIBERAS DEL RIO DEV.",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00959",
"telephone_number": "787-473-2333",
"fax_number": "787-721-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLO",
"first_name": "CARLOS",
"middle_name": "RAFAEL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILTON",
"last_name": "MERCADO",
"middle_name": "JOSE",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.