| NPI | 1124739198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN C PUENTES President 786-357-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2022-12-09 |