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Organization

EQUIPOS MEDICOS DE LA MONTANA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. IRIS DELIA VIRELLA M.A. (PRESIDENT)
(787) 859-2913
Entity
Organization

Contact information

Practice address
CARR. 891 KM 15.0, COROZAL, PR 00783
(787) 859-2913
(787) 859-2906
Mailing address
PO BOX 617, COROZAL, PR 00783-0617
(787) 859-2913
(787) 859-2906

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
PR
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PR

Other

Enumeration date
06/15/2006
Last updated
07/21/2022
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