Organization
PRO MEDICAL EQUIPMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVY E ROMAN (OWNER)
(787) 833-0684
Entity
Organization
Contact information
Practice address
KM 157.0 MEDICAL EMPORIUM 2 SUITE A-35, MAYAGUEZ, PR 00680
(787) 833-0684
Mailing address
PO BOX 2071, SAN SEBASTIAN, PR 00685-8071
(787) 833-0684
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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