Organization
MAG MEDICAL EQUIPMENT & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANA C GOMEZ (CEO)
(787) 923-1321
Entity
Organization
Contact information
Practice address
CARR 107, KM 3-2, AGUADILLA, PR 00604
(787) 923-1321
Mailing address
CIRCULO C 209 A, BASE RAMEY, AGUADILLA, PR 00604
(787) 923-1321
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
2568716
PR
Other
Enumeration date
04/26/2013
Last updated
04/26/2013
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