Organization
PARADISE WEST MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISEL RIVERA (PRESIDENT)
(787) 833-1870
Entity
Organization
Contact information
Practice address
11 CALLE TENERIFE, URB SULTANA, MAYAGUEZ, PR 00680-1604
(787) 833-1870
Mailing address
PO BOX 582, MAYAGUEZ, PR 00681-0582
(787) 833-1870
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
5140390001
PR
Other
Enumeration date
09/05/2006
Last updated
08/22/2020
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