Organization
VALENI MASTECTOMY & WOMEN'S HEALTH SHOP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA T. LICEAGA (PRESIDENT)
(787) 798-7023
Entity
Organization
Contact information
Practice address
SANTA ROSA MALL, SUITE 202-B, BAYAMON, PR 00959-6712
(787) 798-7023
(787) 758-7674
Mailing address
1631 CALLE COLORADO, URB. SAN GERARDO, SAN JUAN, PR 00926-3322
(787) 798-7023
(787) 758-7674
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
PR
Other
Enumeration date
03/27/2009
Last updated
03/27/2009
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