Organization
LA FE PROSTHETIC AND MEDICAL DEVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS A.R. QUESADA (CHIEF EXECUTIVE MANAGER)
(787) 259-5233
Entity
Organization
Contact information
Practice address
108 CALLE VICTORIA, PONCE, PR 00730-3767
(787) 259-5233
(787) 848-0858
Mailing address
108 CALLE VICTORIA, PONCE, PR 00730-3767
(787) 259-5233
(787) 848-0858
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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