Whalio Doctors

NPI 1144257247

Mj New Life Medical Corp

Organisation Durable Medical Equipment & Medical Supplies Bayamon, PR

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
Suppliers Taxonomy 332B00000X Licence 08-P-1799 (PR)

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.