| NPI | 1598526337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUNIESKY SOTO DE LA COBA Owner 786-307-0456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2024-01-18 |