| NPI | 1376661793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA T LICEAGA President 787-798-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2009-07-02 |