| NPI | 1558019075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE CENTENO Sales Representative 787-810-5024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-03-14 |