Provider Demographics
NPI:1104975598
Name:INTERNATIONAL MEDICAL & HOSPITAL SUPPLIES
Entity type:Organization
Organization Name:INTERNATIONAL MEDICAL & HOSPITAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GIEZI
Authorized Official - Middle Name:ELIEZER
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-829-3669
Mailing Address - Street 1:PO BOX 761
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601-0761
Mailing Address - Country:US
Mailing Address - Phone:787-829-3669
Mailing Address - Fax:787-829-3669
Practice Address - Street 1:MUNOZ RIVERA ST CORNER DR BARBOSA
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601
Practice Address - Country:US
Practice Address - Phone:787-829-3669
Practice Address - Fax:787-829-3669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5591530001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5591530001OtherSUPPLIER NUMBER