| NPI | 1083759757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REINALDO IBARGUENGOITIA President 305-822-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 321878) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 802) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: FL 802) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2008-07-21 |