Provider Demographics
NPI:1396153755
Name:CASA MEDICA SALES & DISTRIBUTORS CORP.
Entity type:Organization
Organization Name:CASA MEDICA SALES & DISTRIBUTORS CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-263-3738
Mailing Address - Street 1:PO BOX 371404
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-1404
Mailing Address - Country:US
Mailing Address - Phone:787-263-3738
Mailing Address - Fax:787-263-3738
Practice Address - Street 1:CARRETERA 1 KM 53.6
Practice Address - Street 2:BO BEATRIZ
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-263-3738
Practice Address - Fax:787-263-3738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-30
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies