Organization
SMART BUSINESS GROUP
Active
Parent organization
SMART PEDIATRIC CARE MEDICAL SUPPLIES
Other names
Smart Pediatric Care Medical Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
SMART PEDIATRIC CARE MEDICAL SUPPLIES
Authorized official
MR. EMMANUEL MEDINA VAZQUEZ I EMT-P (DIRECTOR)
(787) 410-6076
Entity
Organization
Contact information
Practice address
CARR 3 KM 152.1 BARRIADA LOPEZ, BARRIO AGUIRRE, SALINAS, PR 00751
(787) 410-6076
(787) 803-9093
Mailing address
PO BOX 540, AGUIRRE, PR 00704-0540
(787) 410-6076
(787) 803-9093
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039229900
—
PR
Enumeration date
05/19/2022
Last updated
05/19/2022
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