| NPI | 1215827183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTAGRACIA DE JESUS Owner 347-213-6894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2025-07-03 |
| Last Update Date | 2025-07-03 |