Provider Demographics
NPI:1487622346
Name:MODEL MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:MODEL MEDICAL EQUIPMENT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANA L.
Authorized Official - Middle Name:DELGADO
Authorized Official - Last Name:MORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-815-4724
Mailing Address - Street 1:PO BOX 140927
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0927
Mailing Address - Country:US
Mailing Address - Phone:787-815-4724
Mailing Address - Fax:787-815-4724
Practice Address - Street 1:CARRETERA 653 KM 2.1 BARRIO HATO ABAJO
Practice Address - Street 2:SECTOR BARRANCAS
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-815-4724
Practice Address - Fax:787-815-4724
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4573930001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies