Organization
EQUIPO MEDICO DE GURABO, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE RAUL CANCELADO BOAVITA (VICE PRESIDENT)
(787) 391-0099
Entity
Organization
Contact information
Practice address
7ST. EL VIVERO F2, GURABO, PR 00778-2338
(787) 737-0840
(787) 737-6088
Mailing address
7 ST. EL VIVERO F2, GURABO, PR 00778-2338
(787) 737-0840
(787) 737-6088
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
97337
PR
335E00000X
Prosthetic/Orthotic Supplier
Primary
RFO01356
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50398
PREFERRED MEDICARE CHOICE
PR
01
—
55220
BLUE CROSS BLUE SHIELD
PR
01
—
EQUIPOME01 EQ2005
INMEDIATA
PR
Enumeration date
12/15/2006
Last updated
09/11/2025
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