Tienda De Zapatos Pie Divino
NPI #1093130833 in Fajardo, Puerto Rico
Provider Information
- NPI Number
- 1093130833
- Entity Type
- Organization
- Organization Name
- Tienda De Zapatos Pie Divino
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 4, 2014
- Last Updated
- Mar 4, 2014
Practice Location
- Address
- MUNOZ RIVERA 59
- City
- Fajardo
- State
- Puerto Rico
- ZIP Code
- 00738
- Phone
- (787) 801-0765
Authorized Official
- Name
- NELSON CASTILLO, OWNER
- Title
- OWNER
- Phone
- (787) 801-0765
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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