Organization
EQUIPO ENFERMERIA VISITANTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IVONNE MARTINO (MANAGER)
(787) 781-1714
Entity
Organization
Contact information
Practice address
784 CAMPO RICO AVE, COUNTRY CLUB, RIO PIEDRAS, PR 00924
(787) 257-4790
(787) 257-4790
Mailing address
A8 GENOVA ST, EXT VILLA CAPARRA, GUYANABO, PR 00966
(787) 781-1714
(787) 782-1029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
038
PR
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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