Provider Demographics
NPI:1528096021
Name:QUALITY HEALTH CARE MEDICAL SUPPLIES CORP.
Entity type:Organization
Organization Name:QUALITY HEALTH CARE MEDICAL SUPPLIES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:JAVIER
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-847-2255
Mailing Address - Street 1:CARR. 149 KM. 0.2
Mailing Address - Street 2:URB. LA VEGA #50
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766
Mailing Address - Country:US
Mailing Address - Phone:787-847-2255
Mailing Address - Fax:787-847-2309
Practice Address - Street 1:CARR. 149 KM. 0.2
Practice Address - Street 2:URB. LA VEGA #50
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-847-2255
Practice Address - Fax:787-847-2309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152408332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5481270001Medicare ID - Type Unspecified