Organization Name: | FRANK S. BORJA |
NPI Number: | 1912283300 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK SALAS BORJA (OWNER) |
Mailing Address: | 144 Cup Of Gold St Mangilao |
State: | GU US |
Postal Code: | 969135913 |
Phone Number: | 6718883336 |
Fax Number: | 6717345621 |
NPI Enumeration Date: | 10/29/2011 |
NPI Last Update Date: | 10/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 30-201001274-001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GU |
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 |