| NPI | 1437925351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN J REYES LIZAMA Owner 305-627-3895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-12-01 |
| Last Update Date | 2024-06-18 |