| NPI | 1962536763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFRAIN SIERRA President 787-894-6555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-10-22 |