# C H MEDIVAL EQUIPMENT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528062049
- **Authorized official:** MRS. CARMEN ROSADO (OWNER)
- **Authorized official phone:** (787) 868-8769

## Contact information

- **Practice address:** CARR 115 KM 20 4, BO GUAYABO, AGUADA, PR 00602
- **Practice address phone:** (787) 868-8769
- **Practice address fax:** (787) 868-8769
- **Mailing address:** PO BOX 7000, AGUADA, PR 00602-7000
- **Mailing address phone:** (787) 868-8769
- **Mailing address fax:** (787) 868-8769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 5067500001 | PR | Yes |

## Other

- **Enumeration date:** 06/13/2005
- **Last updated:** 08/22/2020