Organization
ADVANCED RENT SALES MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILFREDO LOPEZ (PRESIDENT)
(787) 844-4123
Entity
Organization
Contact information
Practice address
139 CALLE VICTORIA, PONCE, PR 00733
(787) 844-4123
(787) 842-8998
Mailing address
PO BOX 336839, PONCE, PR 00733-6839
(787) 844-4123
(787) 842-8998
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
AD0100C
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3504
AHM
PR
01
—
50925
PMC
PR
01
—
55139AD
TRIPLE S - OPTIMO
PR
01
—
840085
MMM
PR
Enumeration date
08/02/2005
Last updated
02/27/2012
Update your record
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