| NPI | 1740368513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR DE JESUS Owner 787-745-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 332B00000X) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |