| NPI | 1124685615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO DIAZ President 787-510-6966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |