| NPI | 1063686780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA PADILLA LOPEZ Secretaria Tesorera 787-810-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2008-04-14 |