| NPI | 1144345240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME SEPULVEDA President 787-749-9744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: PR 08P1347) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2011-03-30 |