Provider Demographics
NPI:1588695027
Name:MAGUEYES MEDICAL SUPPLY & EQUIPMENT
Entity type:Organization
Organization Name:MAGUEYES MEDICAL SUPPLY & EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:TORRES CHEVERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-846-7000
Mailing Address - Street 1:936 BRISAS DEL MONTE
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617
Mailing Address - Country:US
Mailing Address - Phone:787-846-7000
Mailing Address - Fax:787-846-7000
Practice Address - Street 1:CARR 140 KM 63.5
Practice Address - Street 2:BO MAGUEYES
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-846-7000
Practice Address - Fax:787-846-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5438690001Medicare ID - Type Unspecified