| NPI | 1629196878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE A. RIVERA Owner 505-296-0986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-07-19 |