Organization Name: | MOMENTUM MEDICAL CORPORATION |
NPI Number: | 1174829972 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDUARDO JIMENEZ (CEO) |
Mailing Address: | Hg63 Calle Antonio Paoli Toa Baja |
State: | PR US |
Postal Code: | 009493678 |
Phone Number: | 7876240000 |
Fax Number: | 7879980415 |
NPI Enumeration Date: | 01/27/2011 |
NPI Last Update Date: | 07/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |