| NPI | 1386749968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY ENID ROMAN President 787-896-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 0) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2022-07-21 |