Organization
MC MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDRED COLLAZO HERNANDEZ RN (CEO / PRESIDENT)
(787) 841-6355
Entity
Organization
Contact information
Practice address
1266 AVE HOSTOS, SUITE 102, PONCE, PR 00717-0947
(787) 841-6355
(787) 844-0309
Mailing address
PO BOX 328, MERCEDITA, PR 00715-0328
(787) 841-6355
(787) 844-0309
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MC0100C
PR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
MC0100C
PR
332BX2000X
Oxygen Equipment & Supplies (DME)
MC0100C
PR
Other
Enumeration date
06/10/2005
Last updated
09/22/2010
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