Organization
SPORTMED INTERNATIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LUIS NAZARIO (PRESIDENT)
(787) 534-3062
Entity
Organization
Contact information
Practice address
S3-11 CARR 21, URB LAS LOMAS, SAN JUAN, PR 00921-3345
(787) 534-3062
(888) 762-2577
Mailing address
U12 CALLE 10, ALTURAS DE FLAMBOYAN, BAYAMON, PR 00959-8052
(787) 534-3062
(888) 762-2577
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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