| NPI | 1528200144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA T. LICEAGA President 787-798-7023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 332B00000x) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |