| NPI | 1053472258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO SOBREDO-GUERRA President 786-265-0324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL Not req 4 this type) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |