Organization
MEDEXPRESS DIABETIC SUPPLY
Active
Other names
MEDSPR
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL ROSARIO PEGUERO (PROPIETARIO)
(787) 636-6496
Entity
Organization
Contact information
Practice address
324 CALLE PALACIOS, APT 4, SAN JUAN, PR 00915-2165
(787) 636-6496
Mailing address
324 CALLE PALACIOS, APT 4, SAN JUAN, PR 00915-2165
(787) 636-6496
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
PR
332BC3200X
Customized Equipment (DME)
—
PR
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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