Organization
PROFESSIONAL HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAMARIS MATOS (PRESIDENT)
(787) 252-3945
Entity
Organization
Contact information
Practice address
CALLE COLON 131, AGUADA, PR 00602
(787) 252-9345
(787) 252-3940
Mailing address
PO BOX 145, AGUADA, PR 00602-0145
(787) 252-3945
(787) 252-3940
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PR
Other
Enumeration date
06/01/2005
Last updated
08/22/2020
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