| NPI | 1811104011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA J GONZALEZ Administradora 787-817-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 09-F-1282) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |