Organization
MEDICAL EQUIPMENT & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEREIDA RODRIGUEZ OTERO (OWNER)
(787) 704-0955
Entity
Organization
Contact information
Practice address
V26 AVE MUNOZ MARIN, URB MARIOLGA, CAGUAS, PR 00725-6462
(787) 704-0955
(787) 704-0975
Mailing address
V26 AVENIDA MUNOZ MARIN, URB MARIOLGA, CAGUAS, PR 00725-6462
(787) 704-0955
(787) 704-0975
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
4955390001
PR
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/22/2006
Last updated
03/24/2016
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