| NPI | 1134756695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEYDIE MALDONADO CARABALLO President 754-222-8274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-04-01 |