Organization
GOLDEN VALLEY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRENDALIZ SOTO (PRESIDENT)
(787) 244-2757
Entity
Organization
Contact information
Practice address
AVE TITO CASTRO 606, LA RAMBLA PLAZA SUITE 217, PONCE, PR 00728
(787) 244-2757
Mailing address
PO BOX 801529, COTO LAUREL, COTO LAUREL, PUERTO RICO 00660
(787) 244-2757
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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