1861775439 NPI number — SINAI MEDICAL EQUIPMENT CORP.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861775439 NPI number — SINAI MEDICAL EQUIPMENT CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SINAI MEDICAL EQUIPMENT CORP.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861775439
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/21/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PMB 43 PO BOX 607071
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PUERTO RICO
Provider Business Mailing Address Postal Code:
00960
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
787-642-4309
Provider Business Mailing Address Fax Number:
787-730-1128

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO COMERCIAL ESTANCIAS DE LA FUENTE KM. 18.6
Provider Second Line Business Practice Location Address:
LOCAL 19 A
Provider Business Practice Location Address City Name:
TOA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-642-4309
Provider Business Practice Location Address Fax Number:
787-730-1128
Provider Enumeration Date:
09/21/2011

Additional Information

Authorized Official

Authorized Official Last Name:
RIVERA ANDUJAR
Authorized Official First Name:
YAZMIN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-642-4309

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  2109622 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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