| NPI | 1659564839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO MORALES Com PT Roller 787-620-0026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2008-05-02 |