| NPI | 1083586515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO E VICIEDO CORREA Authorized Official 305-780-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |