Organization
CHRODIMAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE ALICEA CEO (PRESIDENT)
(787) 629-5974
Entity
Organization
Contact information
Practice address
H103 VILLAS DEL MAR BEACH RESORT, LOIZA, PR 00772
(787) 629-5974
(800) 676-1864
Mailing address
HC 1 BOX 29030, CAGUAS, PR 00725-8900
(787) 629-5974
(800) 676-1864
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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