Organization
GOODDWILL MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LILLIAN AVILES (ADMINISTRATOR)
(787) 895-8332
Entity
Organization
Contact information
Practice address
CALLE RAMON SAAVEDRA ESQ LINARES 107, QUEBRADILLAS, PR 00678
(787) 895-8332
(787) 895-8332
Mailing address
PO BOX 1495, QUEBRADILLAS, PR 00678-1495
(787) 895-8332
(787) 895-8332
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1259650001
PR
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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