| NPI | 1245165224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS L GOMEZ Sole Proprietor 945-206-0473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2026-06-12 |
| Last Update Date | 2026-06-12 |