Provider Demographics
NPI:1861560716
Name:FIRST MEDICAL EQUIPMENT AND SERVICE CORP
Entity type:Organization
Organization Name:FIRST MEDICAL EQUIPMENT AND SERVICE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERDECIA GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-253-0314
Mailing Address - Street 1:PO BOX 79504
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984-9504
Mailing Address - Country:US
Mailing Address - Phone:787-253-0314
Mailing Address - Fax:787-776-4499
Practice Address - Street 1:2018 CALLE CELESTIAL
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-1760
Practice Address - Country:US
Practice Address - Phone:787-253-0314
Practice Address - Fax:787-776-4499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4716290001Medicare NSC