Organization
PROFESSIONAL RENTAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSVALDO SANDOVAL (PRESIDENT)
(787) 763-4475
Entity
Organization
Contact information
Practice address
156 AVE WINSTON CHURCHILL, URB CROWN HILLS, SAN JUAN, PR 00926-6013
(787) 763-4475
Mailing address
138 AVE WINSTON CHURCHILL, PMB 155, SAN JUAN, PR 00926-6013
(787) 763-4475
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00003027
AMERICAN HEALTH MEDICARE
PR
Enumeration date
04/11/2007
Last updated
04/20/2008
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