Organization
AGELESS HOME & HOSPITAL SUPPLIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PORFIRIO COLON (PRESIDENT)
17874396806
Entity
Organization
Contact information
Practice address
36 CALLE SOL, SUITE 103, PONCE, PR 00730-3736
(787) 439-6806
Mailing address
36 CALLE SOL, SUITE 103, PONCE, PR 00730-3736
(787) 439-6806
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/29/2009
Last updated
06/16/2016
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