Provider Demographics
NPI:1861516585
Name:HRI INC
Entity type:Organization
Organization Name:HRI INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:LA SALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-503-6151
Mailing Address - Street 1:6374 CARRETERA # 2
Mailing Address - Street 2:SUITE 2
Mailing Address - City:QUEBRADILLAS
Mailing Address - State:PR
Mailing Address - Zip Code:00678-2541
Mailing Address - Country:US
Mailing Address - Phone:787-503-6151
Mailing Address - Fax:787-895-6652
Practice Address - Street 1:CARRETERA # 2, KM 102.2
Practice Address - Street 2:SUITE 2
Practice Address - City:QUEBRADILLAS
Practice Address - State:PR
Practice Address - Zip Code:00678-2541
Practice Address - Country:US
Practice Address - Phone:787-503-6151
Practice Address - Fax:787-895-6652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRNEED LICENSE #332B00000X
PR08-P-1395332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1087670001Medicare ID - Type Unspecified