Organization
FAMILY MEDICAL SUPPLY, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL LOPEZ (ADMINISTRATOR)
(787) 267-0648
Entity
Organization
Contact information
Practice address
2 CALLE DR GATELL, YAUCO, PR 00698-3645
(787) 267-0648
(787) 267-0648
Mailing address
PO BOX 5004, YAUCO, PR 00698-5004
(787) 267-0648
(787) 267-0648
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
55295FA
TRIPLE S
PR
01
—
994400
MMM HEALTCARE
PR
Enumeration date
10/26/2005
Last updated
08/22/2020
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