Organization
EL PARAISO HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMARYS REYES (PRESIDENTE)
(787) 736-6969
Entity
Organization
Contact information
Practice address
SAN LORENZO SHOPPING CENTER #4-A CARR. 183 KM1 BO. HATO, SAN LORENZO, PR 00754
(787) 736-6969
Mailing address
PO BOX 215, TRUJILLO ALTO, PR 00977-0215
(787) 736-6969
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9760071
HUMANA
PR
Enumeration date
09/21/2006
Last updated
02/19/2008
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