Organization Name: | JORGE W MUNOZ MARCIAL |
NPI Number: | 1144281452 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE W MUNOZ (OWNER) |
Mailing Address: | 37 Calle 25 De Julio Guanica |
State: | PR US |
Postal Code: | 006532725 |
Phone Number: | 7878215669 |
Fax Number: | 7878216307 |
NPI Enumeration Date: | 03/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 08P1788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |