Organization
NAZARENO ENTERPRISES AND SERVICES LLC
Active
Other names
Nazareno Enterprises and Services LLC, Nazareno Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND JOSE MATOS CPO, BOCPO (PRESIDENT / CEO)
(787) 740-2934
Entity
Organization
Contact information
Practice address
28 CALLE SANTA CRUZ, BAYAMON, PR 00961-6906
(787) 740-2934
(787) 288-0704
Mailing address
28 CALLE SANTA CRUZ, BAYAMON, PR 00961-6906
(787) 740-2934
(787) 288-0704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
06/01/2005
Last updated
09/04/2019
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