Organization
NUTRITION CARE, INC.
Active
Other names
Hato Rey Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TANIA E CONDE (PRESIDENT)
(787) 778-5449
Entity
Organization
Contact information
Practice address
114 CALLE ELEANOR ROOSEVELT, URB. EL VEDADO, 1ST FLOOR, SAN JUAN, PR 00918-3105
(787) 778-5449
(787) 780-7475
Mailing address
114 CALLE ELEANOR ROOSEVELT,, URB. EL VEDADO, 1ST FLOOR, SAN JUAN, PR 00918-3105
(787) 778-5449
(787) 780-7475
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
1252490001
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50200
PREFERRED MEDICARE CHOICE
PR
01
—
55273
TRIPLE S, INC.
PR
01
—
9000115
CRUZ AZUL
PR
01
—
9500048
HUMANA
PR
01
—
991269
MEDICARE MUCHO MAS (MMM)
PR
Enumeration date
08/18/2005
Last updated
05/29/2024
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