| NPI | 1407881949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN AVILES Administrator 787-895-8332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 1259650001) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-08-22 |