Invictory Medica Distributors Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in PR

Legal business name

INVICTORY MEDICA DISTRIBUTORS INC

Practice address

237 Calle del Valle
San Juan, PR 00912-4109

Phone

(787) 728-8888

Fax

(787) 726-8888

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maribel Gonzalez

Title

Owner

Phone

(787) 728-8888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1831277607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 CALLE DEL VALLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009124109",
            "telephone_number": "787-728-8888",
            "fax_number": "787-726-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 CALLE DEL VALLE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009124109",
            "telephone_number": "787-728-8888",
            "fax_number": "787-726-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTORY MEDICA DISTRIBUTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "787-728-8888",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PR",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in San Juan, PR
• 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 May 2, 2008; 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.