| NPI | 1225014467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE L PORTILLO President / Owner 305-821-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2206) |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-11-29 |