Provider Demographics
NPI:1861574261
Name:JUNCOS MEDICAL EQUIPMENT INC
Entity type:Organization
Organization Name:JUNCOS MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZORAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-734-6958
Mailing Address - Street 1:PO BOX 1796
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1796
Mailing Address - Country:US
Mailing Address - Phone:787-734-6958
Mailing Address - Fax:787-734-6965
Practice Address - Street 1:150 CALLE INOCENCIO CASUL
Practice Address - Street 2:URB VALENCIA I
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3721
Practice Address - Country:US
Practice Address - Phone:787-734-6958
Practice Address - Fax:787-734-6965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1212310001Medicare NSC