| NPI | 1629644117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUILLERMO VELAZQUEZ FONSECA President 754-271-5073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2021-11-29 |