| NPI | 1528400215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ORTIZ President 787-218-5955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 328027) |
| Additional Taxonomies | 3336H0001X Pharmacy Home Infusion Therapy Pharmacy (Licence: PR 328027) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |