| Organization Name: | ADVANCED MEDICAL SUPPLY CORP |
| NPI Number: | 1083742043 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE E ESTEVEZ (PRESIDENT) |
| Mailing Address: | 64 Calle San Carlos Quebradillas |
| State: | PR US |
| Postal Code: | 006781734 |
| Phone Number: | 7878950666 |
| Fax Number: | 7878958700 |
| NPI Enumeration Date: | 03/01/2007 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 4193730002 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |