Provider Demographics
NPI:1548479744
Name:PRODUCTS AND SERVICES SALES CORP
Entity type:Organization
Organization Name:PRODUCTS AND SERVICES SALES CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-734-5591
Mailing Address - Street 1:PO BOX 1701
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1701
Mailing Address - Country:US
Mailing Address - Phone:787-734-5591
Mailing Address - Fax:787-713-0906
Practice Address - Street 1:CALLE DR. BARRERAS ESQ CORCHADO
Practice Address - Street 2:
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777
Practice Address - Country:US
Practice Address - Phone:787-734-5591
Practice Address - Fax:787-713-0906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1283700001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4004139OtherNCPDP
PR1283700001Medicare ID - Type Unspecified