| NPI | 1659583268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISANIS L PRINCIPE Owner 787-784-4728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2008-07-17 |