| NPI | 1144568882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SILVIA REYNA RIVES President 786-488-1026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: FL 5204607) |
| Enumeration Date | 2013-01-30 |
| Last Update Date | 2013-01-30 |