| NPI | 1528201175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL A GOMEZ President 787-812-7722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2014-10-03 |