Organization Name: | CARMEN DIAZ |
NPI Number: | 1497843965 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEN DIAZ (OWNER) |
Mailing Address: | 518 Calle Dresde Puerto Nuevo San Juan |
State: | PR US |
Postal Code: | 009203731 |
Phone Number: | 7877060209 |
Fax Number: | 7877745991 |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 03/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 1281640001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |