| NPI | 1548279490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO JIMENEZ President 787-798-3507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 4667460001) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: PR 56.05.06) |
| 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: PR 05-P-2113) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: PR ABC CERTIFIED FITTER) | |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2020-08-22 |