| NPI | 1134891369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL ELISA CORDOVA MARRERO Member 787-688-0240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |