Organization
TAVAREZ MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAIME TAVAREZ (DUENO)
(787) 830-5160
Entity
Organization
Contact information
Practice address
JUAN HERNADEZ #7 EDIF. TAVAREZ, ISABELA, PR 00662-0000
(787) 830-5160
(787) 830-5160
Mailing address
PO BOX 956, ISABELA, PR 00662-0956
(787) 830-5160
(787) 830-5160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
08/22/2020
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