| NPI | 1104580703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R VALDEZ President 786-592-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2022-03-23 |