| NPI | 1992152268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC TOMAS SANTIAGO Owner 201-217-9950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2016-05-17 |