| NPI | 1205516762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRO JOSE BOTELLA VALLE Owner 954-505-4970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |