| NPI | 1073535860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERTO L ALVAREZ Owner 228-864-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2022-05-05 |