| NPI | 1306162417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL SIERRA Owner 787-720-4042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2011-08-18 |