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Organization
ADVANCED MEDICAL SUPPLY CORP
Active
Organization
ADVANCED MEDICAL SUPPLY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE E ESTEVEZ (PRESIDENT)
(787) 364-6620
Entity
Organization
Contact information
Practice address
64 CALLE SAN CARLOS, QUEBRADILLAS, PR 00678-1734
(787) 895-0666
(787) 895-8700
Mailing address
HC 3 BOX 24071, SAN GERMAN, PR 00683-9736
(787) 892-6780
(787) 892-6684
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
4193730001
PR
332BX2000X
Oxygen Equipment & Supplies (DME)
4193730002
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50089
PMC
PR
Enumeration date
03/01/2007
Last updated
10/16/2014
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