Provider Demographics
NPI:1679896898
Name:NDP MEDICAL SUPPLIES CORP.
Entity type:Organization
Organization Name:NDP MEDICAL SUPPLIES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-984-3838
Mailing Address - Street 1:AVE. CARLOS J. ANDALUZ
Mailing Address - Street 2:N-70 #3 URB. LOMAS VERDES
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-984-3838
Mailing Address - Fax:787-919-0644
Practice Address - Street 1:AVE. CARLOS J. ANDALUZ
Practice Address - Street 2:N-70 #3 URB. LOMAS VERDES
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-984-3838
Practice Address - Fax:787-919-0644
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-02
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR6462890001Medicare NSC