Organization
MEDICOR HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL DELGADO (ADMINISTRATOR)
(787) 787-5573
Entity
Organization
Contact information
Practice address
69-2 AVENIDA WEST MAIN SIERRA BAYAMON, BAYAMON, PR 00961
(787) 787-5573
Mailing address
PO BOX 70255, SAN JUAN, PR 00936-8255
(800) 250-4468
(866) 930-8001
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05-P-2071
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57166
SSS PROVIDER NUMBER
PR
Enumeration date
11/29/2006
Last updated
03/08/2012
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