| NPI | 1306306170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R GUEVARA President 786-417-9404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |