| NPI | 1225991219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OSDEL GONZALEZ PEREZ Owner/Authorized Official 645-200-7456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-12-05 |
| Last Update Date | 2025-12-05 |