Organization
AXISCARE HEALTH LOGISTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO ISMARO MARRERO (PRESIDENT)
(787) 251-2323
Entity
Organization
Contact information
Practice address
CARR 2 KM 19.5 PEPSI INDUSTRIAL PARK #1, CANDELARIA, TOA BAJA, PR 00949
(787) 251-2323
(787) 251-2756
Mailing address
PO BOX 1366, DORADO, PR 00646-1366
(787) 251-2323
(787) 251-2323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
PR
Other
Enumeration date
08/03/2006
Last updated
09/19/2024
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