Organization
EBJ ORTHOTICS & MEDICAL EQUIPMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA DIAZ MBA (PRESIDENT)
(787) 261-6500
Entity
Organization
Contact information
Practice address
3172 AVE. DEL VALLE, LEVITTOWN, TOA BAJA, PR 00949
(787) 261-6500
(787) 261-3825
Mailing address
3172 PASEO CRESTA, LEVITTOWN, TOA BAJA, PR 00949-3130
(787) 261-6500
(787) 261-3825
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
03/08/2006
Last updated
08/22/2020
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