| NPI | 1205806643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA J GONZALEZ Administraitor 787-817-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 11F1282) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 11F1282) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2011-02-01 |