| NPI | 1447214366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN RENE HERNANDEZ President 305-887-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: FL 123) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition (Licence: FL 123) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-12 |