| NPI | 1518104504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTO OTERO Ower/Presidente 786-231-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 6202550001) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-12-30 |