| NPI | 1114037512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN PABLO RIVERA President 954-364-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313104) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 3204743) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |