| NPI | 1023035847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS M RODRIGUEZ Vice Presidente 787-804-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PR 4377110001) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2011-09-15 |