| NPI | 1316223100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME XAVIER PANTOJA President 787-608-8207 |
| 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 | 2013-04-19 |