Organization
EA SPORT MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE JOSE FIGUEROA (ADMINISTRATOR)
(787) 909-8975
Entity
Organization
Contact information
Practice address
ST 194 KM 3.0, LOCAL 1, FAJARDO, PR 00738
(787) 909-8975
(787) 863-7199
Mailing address
2F24 CALLE 6, VISTAS DEL CONVENTO, FAJARDO, PR 00738-3207
(787) 909-8975
(787) 863-7199
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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