| NPI | 1174994685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULISES ORTIZ President 787-404-7576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2015-10-09 |