| NPI | 1225020902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO AGUERA C.F.O 305-477-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORF 122) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1928) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2020-08-22 |