Organization
PRIME MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME RIVERA PROPIETARY (DIRECTOR)
(787) 744-5040
Entity
Organization
Contact information
Practice address
Q29 AVE L MUNOZ MARIN, URB VILLA DEL CARMEN, CAGUAS, PR 00725-6158
(787) 744-5040
(787) 850-3800
Mailing address
PO BOX 1374, GURABO, PR 00778-1374
(787) 744-5040
(787) 850-3800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5279180001
PR
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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