| NPI | 1356351035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR JOSE DE JESUS President 787-746-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 10533800001) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: PR 07F1281) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |