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1205019965
MEDICAL PROSTHETIC
TOA ALTA, PR
NPI
1205019965
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Entity Type
Organization
Authorized Contact
LUIS DANIEL PONTON
CEO
787-359-4770
Organization Subpart ?
No
Primary Taxonomy
261QA0900X Clinic/Center Amputee
Enumeration Date
2007-12-17
Last Update Date
2007-12-17
Business Address
MEDICAL PROSTHETIC
EBANO 74 MONTECASINO
TOA ALTA, PR 00953
Phone number: 787-359-4770
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Mailing Address
MEDICAL PROSTHETIC
EBANO 74 MONTECASINO
TOA ALTA, PR 00953
Phone number: 787-359-4770
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