Doctor Name: | NESTOR MAISONET |
NPI Number: | 1457636995 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | Calle Hoare Cond. Miramar Suites 611 Apt. 6-a San Juan, PR - 009073609 |
Business Phone Number: | 7875686115 |
Business Fax Number: | |
Mailing Address: | Calle Hoare, Cond. Miramar Suites 611 Apt. 6-a SAN JUAN |
State: | PR |
Postal Code: | 00907 |
Phone Number: | 7875686115 |
Fax Number: | |
NPI Enumeration Date: | 10/17/2011 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |