| NPI | 1255090817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL E RIVAS President 786-547-9357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2021-12-10 |