| NPI | 1912167768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLA LIZZETTE CARAZO President 787-810-1593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-08-25 |