Organization Name: | AGA LINDE HEALTHCARE PR INC |
NPI Number: | 1073590949 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE L HERNANDEZ (VICE PRESIDENT - HOMECARE) |
Mailing Address: | Road 869 Km 2.0 Palmas Village Bo. Palmas Catano |
State: | PR US |
Postal Code: | 00962 |
Phone Number: | 7876208120 |
Fax Number: | 7876208267 |
NPI Enumeration Date: | 12/30/2005 |
NPI Last Update Date: | 12/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 10-P-2149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |