Organization
MI FARMACIA MEDICAL EQUIPMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISMAEL OMAR SANTIAGO (GENERAL MANAGER)
(787) 822-0555
Entity
Organization
Contact information
Practice address
55 CALLE RAMON TORRES, FLORIDA, PR 00650-2041
(787) 822-0555
(787) 822-7036
Mailing address
PO BOX 312, FLORIDA, PR 00650-0312
(787) 822-0555
(787) 822-7036
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
PR
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
PR
333600000X
Pharmacy
Primary
07-F-1343
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4025
AMERICAN HEALTH
PR
01
—
50148
PREFERRED MEDICARE CHOICE
PR
01
—
660372202
MCS
PR
Enumeration date
03/07/2006
Last updated
06/19/2012
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