Organization
MEDIRENTAL CORPORATION
Active
Other names
Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL RIVERA (PRESIDENT CEO)
(787) 785-1240
Entity
Organization
Contact information
Practice address
AVE. LAUREL # 2E - 11, URB LOMAS VERDES, BAYAMON, PR 00956-3342
(787) 785-1240
(787) 785-1850
Mailing address
AVE. LAUREL # 2E - 11, URB LOMAS VERDES, BAYAMON, PR 00956-3342
(787) 785-1240
(787) 785-1850
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/28/2006
Last updated
12/01/2008
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