| NPI | 1518472935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL FUENTES President 786-569-8956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |