Provider Demographics
NPI:1427087246
Name:DORADO MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:DORADO MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:SIERRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-796-6372
Mailing Address - Street 1:499 CALLE EXT SUR
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-5017
Mailing Address - Country:US
Mailing Address - Phone:787-796-6372
Mailing Address - Fax:787-796-6488
Practice Address - Street 1:499 CALLE EXT SUR
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-5017
Practice Address - Country:US
Practice Address - Phone:787-796-6372
Practice Address - Fax:787-796-6488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4642470001Medicare NSC