| NPI | 1528594348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBSEN TORRES President 787-376-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2019-04-23 |