| NPI | 1003707944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS VIDAL GONZALEZ Owner/ Authorized Official 786-315-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |