Provider Demographics
NPI:1801859608
Name:GLOBAL MEDICAL DISTRIBURTORS, INC.
Entity type:Organization
Organization Name:GLOBAL MEDICAL DISTRIBURTORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SERAFIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLAZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-873-4575
Mailing Address - Street 1:PO BOX 1107
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-1107
Mailing Address - Country:US
Mailing Address - Phone:787-873-4575
Mailing Address - Fax:787-873-4575
Practice Address - Street 1:FRANCISCO MARIANO QUINONES NUMBER 29B
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637
Practice Address - Country:US
Practice Address - Phone:787-873-4575
Practice Address - Fax:787-873-4575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-11
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
PR4918260001Medicare NSC