| NPI | 1013615798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAZARO J VIZCON OJEDA Owner 786-359-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-02-21 |
| Last Update Date | 2023-07-20 |