| NPI | 1134556079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ V DIAZ Owner 787-722-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 03387450012) |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |