| NPI | 1023013653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMA DIAZ Administrator 787-724-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PR 0039) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 1302060001) |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2011-04-26 |