| NPI | 1194775015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH E. PEREZ Vice President 787-833-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PR C22525) |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management (Licence: PR C22525) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |