Organization
PR MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMILIO JOSE CONCEPCION GARCIA (CEO)
(813) 305-6251
Entity
Organization
Contact information
Practice address
20 AVE CAMPO RICO LOC, CENTRO COMERCIAL, CAROLINA, PR 00983
(813) 305-6251
Mailing address
20 AVE CAMPO RICO LOC, CENTRO COMERCIAL, CAROLINA, PR 00983
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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