Organization
ADVANCE IMPLANT, TISSUE AND CELL TECHNOLOGIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL GARCIA-CORREA (PRESIDENT)
(787) 464-4969
Entity
Organization
Contact information
Practice address
PUERTO GALEXEDA CALLE 2 # E3, PENUELAS, PR 00624
(787) 464-4969
Mailing address
PO BOX 35025, PONCE, PR 00734-5025
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
01/02/2013
Last updated
01/23/2013
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