| NPI | 1881778132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY ENID ROMAN IRIZARRY President 787-264-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 5145310001) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2022-07-21 |