| NPI | 1902838238 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARLA ENID FUSTER President 787-898-4588  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 332B00000X)  | 
| Enumeration Date | 2006-07-07 | 
| Last Update Date | 2008-09-08 |