Organization
EQUIPOS PRO IMPEDIDOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT VAZQUEZ (SALES MEN)
(787) 379-4505
Entity
Organization
Contact information
Practice address
25 CARR 1, CAGUAS, PR 00725-6163
(787) 379-4504
(787) 745-2340
Mailing address
PO BOX 9734, CAGUAS, PR 00726-9734
(787) 379-4504
(787) 745-2840
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
660491200
PR
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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