| NPI | 1568041010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE A FONSECA GUTIERREZ President 786-307-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-10-15 |