1942297023 NPI number — UNIVERSAL MEDICAL & HOSPITAL SUPPLY, CORP.

Table of content: (NPI 1942297023)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942297023 NPI number — UNIVERSAL MEDICAL & HOSPITAL SUPPLY, CORP.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIVERSAL MEDICAL & HOSPITAL SUPPLY, 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:
1942297023
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1271
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HORMIGUEROS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00660-5271
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-833-4710
Provider Business Mailing Address Fax Number:
787-265-1122

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
VALLE HERMOSO SHPPING CENTER
Provider Second Line Business Practice Location Address:
ALBIZU CAMPOS AVE. SUITE 102
Provider Business Practice Location Address City Name:
HORMIGUEROS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00660
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-833-4710
Provider Business Practice Location Address Fax Number:
787-265-1122
Provider Enumeration Date:
10/04/2005

Additional Information

Authorized Official

Authorized Official Last Name:
RAMOS - RODRIGUEZ
Authorized Official First Name:
EVEREDITH
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-833-4710

Provider Taxonomy Codes

  • Taxonomy code: 332BX2000X , with the licence number:  05-P-1795 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 332B00000X , with the licence number: 07734 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

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

  • Identifier: 994038 . This is a "MMM HEALTHCARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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