| NPI | 1891898342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVY ENID ROMAN President 787-264-2275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 5145310001) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-08-22 |