Provider Demographics
NPI:1790986958
Name:SURGI-CARE INC
Entity type:Organization
Organization Name:SURGI-CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:MORENO
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:866-356-7846
Mailing Address - Street 1:3 FEDERAL ST STE 110
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-3500
Mailing Address - Country:US
Mailing Address - Phone:800-797-8744
Mailing Address - Fax:800-338-6304
Practice Address - Street 1:12 GREGORY DR STE 2
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6058
Practice Address - Country:US
Practice Address - Phone:800-797-8744
Practice Address - Fax:800-338-6304
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SURGI-CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-29
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1008716Medicaid
VT29240OtherBCBS
MA0254690001Medicare NSC