| NPI | 1750485454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY ENID ROMAN IRIZARRY President 787-922-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2008-05-06 |