Organization
MEDEQUIPMENT & SUPPLIES
Active
Organization
MEDEQUIPMENT & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL ACOSTA (PRESIDENT)
(920) 634-1332
Entity
Organization
Contact information
Practice address
2713 HUMBOLDT RD APT 6, GREEN BAY, WI 54311-8457
(920) 634-1332
Mailing address
2713 HUMBOLDT RD APT 6, GREEN BAY, WI 54311-8457
(920) 634-1332
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
03/11/2018
Last updated
03/11/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up