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Organization
PJ MEDICAL SUPPLIES AND PROSTHETICS CORP
Active
Organization
PJ MEDICAL SUPPLIES AND PROSTHETICS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE R SERRAT (PRESIDENT)
(787) 782-2866
Entity
Organization
Contact information
Practice address
1418 AVE AMERICO MIRANDA, URB CAPARRA TERRACE, SAN JUAN, PR 00921-2128
(787) 782-2866
Mailing address
1418 AVE AMERICO MIRANDA, URB CAPARRA TERRACE, SAN JUAN, PR 00921-2128
(787) 782-2866
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
PR
335E00000X
Prosthetic/Orthotic Supplier
—
PR
Other
Enumeration date
03/02/2011
Last updated
07/18/2011
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