Organization Name: | ENEIDA MORALES |
NPI Number: | 1063479475 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ENEIDA MORALES (PROPIETARY) |
Mailing Address: | 1 Calle A Hernandez Moca |
State: | PR US |
Postal Code: | 00676 |
Phone Number: | 7878771547 |
Fax Number: | 7878771547 |
NPI Enumeration Date: | 04/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | 01279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |