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Organization

DIABETIC SOLUTIONS SOUTH CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAIME XAVIER PANTOJA (PRESIDENT)
(787) 608-8207
Entity
Organization

Contact information

Practice address
ESTACIONAMIENTO CENTRO MEDICO LOCAL 2 RIO PIEDRAS, SAN JUAN, PR 00674
(787) 763-2777
(787) 723-6777
Mailing address
PO BOX 8885 SABANA BRANCH, VEGA BAJA, PR 00694-8885
(787) 763-2777
(787) 763-2777

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary

Other

Enumeration date
09/22/2010
Last updated
09/22/2010
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