Organization
R E N ENTERPRISES INC
Active
Other names
Krystal Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ENEIDA Q VILLARRUBIA R.N. (OWNER/PRESIDENT)
(787) 805-6325
Entity
Organization
Contact information
Practice address
155 CALLE RAMOS ANTONINI E., MAYAGUEZ, PR 00680-5043
(787) 805-6325
(787) 805-6301
Mailing address
PO BOX 467, MAYAGUEZ, PR 00681-0467
(787) 805-6325
(787) 805-6301
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
05P1703
PR
335E00000X
Prosthetic/Orthotic Supplier
05P1703
PR
Other
Enumeration date
05/27/2005
Last updated
10/31/2008
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