Organization
DDJ MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANA E RIESCO (PRESIDENT)
(787) 277-0304
Entity
Organization
Contact information
Practice address
461 LOCAL A AVENIDA DE DIEGO, SAN JUAN, PR 00921
(787) 277-0304
(787) 277-0403
Mailing address
461 LOCAL A AVENIDA DE DIEGO, SAN JUAN, PR 00921
(787) 277-0304
(787) 277-0403
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/29/2006
Last updated
10/15/2009
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