Organization
GREAT MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HUMBERTO CAMPORINO (PRESIDENT)
(787) 816-0077
Entity
Organization
Contact information
Practice address
CALLE RODRIGUEZ IRRIZARY # 163, SUITE 202, ARECIBO, PR 00612
(787) 816-0077
(888) 501-7971
Mailing address
CALLE RODRIGUEZ IRRIZARY # 163, SUITE 202, ARECIBO, PR 00612
(787) 816-0077
(888) 501-7971
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
08P1707
PR
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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