Provider Demographics
NPI:1063536779
Name:HMG SERVICES
Entity type:Organization
Organization Name:HMG SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-795-0470
Mailing Address - Street 1:5900 AVE ISLA VERDE
Mailing Address - Street 2:STE 2-152
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-5746
Mailing Address - Country:US
Mailing Address - Phone:787-795-0470
Mailing Address - Fax:787-261-2953
Practice Address - Street 1:AVE BOULEVARD EE-19
Practice Address - Street 2:LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-5900
Practice Address - Country:US
Practice Address - Phone:787-795-0470
Practice Address - Fax:787-261-2953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0982950001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0982950001Medicare NSC