Provider Demographics
NPI:1861775439
Name:SINAI MEDICAL EQUIPMENT CORP.
Entity type:Organization
Organization Name:SINAI MEDICAL EQUIPMENT CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAZMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA ANDUJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-642-4309
Mailing Address - Street 1:PMB 43 PO BOX 607071
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00960
Mailing Address - Country:UM
Mailing Address - Phone:787-642-4309
Mailing Address - Fax:787-730-1128
Practice Address - Street 1:CENTRO COMERCIAL ESTANCIAS DE LA FUENTE KM. 18.6
Practice Address - Street 2:LOCAL 19 A
Practice Address - City:TOA ALTA
Practice Address - State:PR
Practice Address - Zip Code:00953
Practice Address - Country:US
Practice Address - Phone:787-642-4309
Practice Address - Fax:787-730-1128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2109622332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies