Organization
JIREH EQUIPMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIBETH RODRIGUEZ (PROPIETARIO)
(787) 619-9760
Entity
Organization
Contact information
Practice address
CALLE 12 ESQUINA 9, BO NAVARRO, GURABO, PR 00778
(787) 619-9760
Mailing address
EXTENCION SAN JOSE A29, GURABO, PR 00778
(787) 619-9760
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/30/2009
Last updated
02/05/2010
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