Provider Demographics
NPI:1780929125
Name:ASSISTIVE TECHNOLOGY SPECIALISTS, INC.
Entity type:Organization
Organization Name:ASSISTIVE TECHNOLOGY SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRASQUILLO AGUAYO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-600-1416
Mailing Address - Street 1:500 CAMINO DE CAMBALACHE
Mailing Address - Street 2:URB. SABANERA DORADO
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3643
Mailing Address - Country:US
Mailing Address - Phone:787-600-1416
Mailing Address - Fax:800-236-6375
Practice Address - Street 1:523 CALLE EXTENSION S
Practice Address - Street 2:BARRIO HIGUILLAR, DORADO PUEBLO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-5016
Practice Address - Country:US
Practice Address - Phone:787-223-5566
Practice Address - Fax:800-236-6375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-11
Last Update Date:2012-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies