Organization
ULTRACARE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDALITZ RIVERA DELGADO (OWNER)
(787) 270-0700
Entity
Organization
Contact information
Practice address
CARRETERA #2 KM 29.2 BARRIO ESPINOSA, VEGA ALTA, PR 00692
(787) 270-0700
(787) 270-0706
Mailing address
PO BOX 844, MANATI, PR 00674-0844
(787) 270-0700
(787) 270-0706
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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