| NPI | 1033103163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS V CLAS President 787-754-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PR 05-P-1761) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-09-03 |
| Last Update Date | 2011-12-14 |