| NPI | 1659715720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MALDONADO President 787-798-0575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: PR 609) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-07-21 |