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Organization

ANGELUZ ONCOLOGY STORE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUZ V DIAZ CFOM0538 (OWNER)
(787) 722-4803
Entity
Organization

Contact information

Practice address
804 CALLE LAFAYETTE, SAN JUAN, PR 00909-2626
(787) 722-4803
(787) 721-3399
Mailing address
804 CALLE LAFAYETTE, SAN JUAN, PR 00909-2626
(787) 722-4803
(787) 721-3399

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03387450012
PR

Other

Enumeration date
10/10/2013
Last updated
10/10/2013
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