Organization
ADVANCED MEDICAL SUPPLY,CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE E ESTEVEZ (PRESIDENT)
(787) 895-0666
Entity
Organization
Contact information
Practice address
64 CALLE SAN CARLOS, QUEBRADILLAS, PR 00678-1734
(787) 895-0666
Mailing address
HC 3 BOX 24071, SAN GERMAN, PR 00683-9736
(787) 895-0666
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50089
PMC
PR
01
—
840128
M.M.M.
PR
Enumeration date
08/10/2009
Last updated
08/10/2009
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