Organization
SIMPLE MEDICAL SERVICES OF PR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAISY ANNE GARCIA (PRESIDENT)
(787) 270-3589
Entity
Organization
Contact information
Practice address
CALLE LUSI MUNOZ RIVERA 14, VEGA ALTA, PR 00692
(787) 270-3589
(787) 270-3589
Mailing address
CALLE TAPIA 111, SAN JUAN, PR 00911
(787) 270-3589
(787) 270-3589
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1219740001
DMERC SUPPLIER ID
PR
Enumeration date
10/13/2005
Last updated
12/28/2009
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