| NPI | 1669507687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS ANGEL FELICIANO President 787-868-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy Community/Retail Pharmacy |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |