NPI 1144257247
Mj New Life Medical Corp
Practice location
- Address
- Ik28 Ave Nogal Royal Palm, Bayamon, PR 00956-2973
- Phone
- (787) 269-7879
- Fax
- (787) 269-0668
- Mailing address
- Pmb 116 Box 607071, Bayamon, PR 00960-7071
Authorised official
- Name
- Jose Antonio Casiano
- Title
- President Owner
- Phone
- (787) 269-7879
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1144257247
- Entity type
- Organization
- NPI issued
- 26 Jun 2006
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.