=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033112677
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BETTER LIFE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2005
-----------------------------------------------------
Last Update Date | 12/11/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | CARR. 107 KM. 0.9 BO. BORINQUEN
-----------------------------------------------------
City | AGUADILLA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-997-3070
-----------------------------------------------------
Fax | 787-997-3071
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2055 SUITE 1 PMB 209 AVE. ALBIZU CAMPOS
-----------------------------------------------------
City | AGUADILLA
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00603-6083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-997-0307
-----------------------------------------------------
Fax | 787-997-3071
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENTE
-----------------------------------------------------
Name | MRS. ALEINES VALENTIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 787-640-8714
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BX2000X
-----------------------------------------------------
Taxonomy Name | Oxygen Equipment & Supplies (DME)
-----------------------------------------------------
License Number | 07P2216
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------