Provider Demographics
NPI:1285898270
Name:CARIBBEAN MEDICAL SUPPLIES
Entity type:Organization
Organization Name:CARIBBEAN MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ALBERTO
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-863-7676
Mailing Address - Street 1:PO BOX 70011
Mailing Address - Street 2:PMB # 1
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738-7011
Mailing Address - Country:US
Mailing Address - Phone:787-863-7676
Mailing Address - Fax:787-863-7676
Practice Address - Street 1:52 CALLE UNION E # C
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738-4864
Practice Address - Country:US
Practice Address - Phone:787-863-7676
Practice Address - Fax:787-863-7676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies