| NPI | 1225314016 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVELISSE GUZMAN Manager 787-624-4266 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2011-10-25 |
| Last Update Date | 2025-03-20 |