Organization
MJ NEW LIFE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ANTONIO CASIANO JR. (PRESIDENT OWNER)
(787) 269-7879
Entity
Organization
Contact information
Practice address
IK28 AVE NOGAL, ROYAL PALM, BAYAMON, PR 00956-2973
(787) 269-7879
(787) 269-0668
Mailing address
PMB 116, BOX 607071, BAYAMON, PR 00960-7071
(787) 269-0668
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
08-P-1799
PR
Other
Enumeration date
06/26/2006
Last updated
08/22/2020
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