NPI | 1003379074 |
---|---|
Entity Type | Organization |
Authorized Contact | RAFAEL PEREZ MONTERO President 239-541-8492 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-04-08 |
Last Update Date | 2021-06-26 |