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Organization
PARADISE MEDICAL SUPPLY, INC.
Active
Organization
PARADISE MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRNA RIVERA (PRESIDENT)
(787) 633-7423
Entity
Organization
Contact information
Practice address
809 MOLUCAS STREET, COUNTRY CLUB, SAN JUAN, PR 00924-1701
(787) 633-7423
Mailing address
352 SAN CLAUDIO ST. , PMB 274, URB. SAGRADO CORAZON, SAN JUAN, PR 00926-4143
(787) 633-7423
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
4308950001
PR
Other
Enumeration date
07/24/2006
Last updated
05/04/2009
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