Organization
DIABETIC CENTER & HOSPITAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMON BONILLA (PRESIDENT)
(787) 284-3997
Entity
Organization
Contact information
Practice address
2743 CALLE LAS CARROZAS, URB PERLA DEL SUR, PONCE, PR 00717-0407
(787) 284-3997
(787) 843-0014
Mailing address
PO BOX 8746, PONCE, PR 00732-8746
(787) 284-3997
(787) 284-3997
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DI0300C
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50086DI
TRIPLE S
PR
01
—
9000688
CRUZ AZUL DE PR
PR
01
—
990168
MMM HEALTHCARE
PR
Enumeration date
10/26/2005
Last updated
10/08/2011
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