Organization
HEALTHCARE PROVIDER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELVIN TORRES (VP.)
(787) 630-1403
Entity
Organization
Contact information
Practice address
171 AVE WINSTON CHURCHILL, SAN JUAN, PR 00926-6012
(787) 274-8110
(787) 274-8123
Mailing address
PO BOX 362186, SAN JUAN, PR 00936-2186
(787) 274-8110
(787) 274-8123
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PR
Other
Enumeration date
05/23/2005
Last updated
07/21/2022
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