| NPI | 1811974025 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARISOL CASTAER Director Officer 787-701-6380  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 05-06-046-CA)  | 
| Enumeration Date | 2005-12-29 | 
| Last Update Date | 2022-07-21 |