| NPI | 1063455319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVIS E. GONZALEZ Vice President 787-880-0559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07-F-1974) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |