Provider Demographics
NPI:1699738203
Name:I PLUS I MEDICAL SUPPLIES
Entity type:Organization
Organization Name:I PLUS I MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:MONSERRAT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:787-706-2378
Mailing Address - Street 1:URB. SANTIAGO IGLESIAS, STREET AVE. PAZ GRANELA
Mailing Address - Street 2:#1764
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921
Mailing Address - Country:US
Mailing Address - Phone:787-706-2378
Mailing Address - Fax:787-706-2378
Practice Address - Street 1:URB. SANTIAGO IGLESIAS, STREET AVE. PAZ GRANELA
Practice Address - Street 2:#1764
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-706-2378
Practice Address - Fax:787-706-2378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR5645660001Medicare ID - Type UnspecifiedPALMETTO GBA