Organization
PGA CONSULTING GROUP
Active
Parent organization
GT MEDICAL DIABETES
Other names
GT Medical Diabetes
Organization subpart
Yes
Provider details
NPI number
Legal business name
GT MEDICAL DIABETES
Authorized official
MS. AIDA IRIS TAPIA (VICE PRESIDENT)
(787) 636-6189
Entity
Organization
Contact information
Practice address
13 CAMINO LOS BAEZ APT 802, GUAYNABO, PR 00971-9636
(787) 636-6189
Mailing address
RR 6 BOX 11167, SAN JUAN, PR 00926
(787) 636-6189
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
332BC3200X
PR
Other
Enumeration date
12/18/2012
Last updated
12/18/2012
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