Organization
EQUIPMEDIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OTTO OSTOLAZA (PRESIDENT)
(787) 798-1798
Entity
Organization
Contact information
Practice address
IF29 AVE LOMAS VERDES, BAYAMON, PR 00956-3114
(787) 798-1798
(787) 778-7651
Mailing address
PO BOX 192469, SAN JUAN, PR 00919-2469
(787) 798-1798
(787) 778-7651
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
B-24264
PR
Other
Enumeration date
09/28/2006
Last updated
08/22/2020
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