Organization
EQUIPO MEDICO DE GURABO, CORP.
Active
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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