| NPI | 1639030448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR AUGUSTO RINCON VASQUEZ Owner 347-617-0714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-11-20 |
| Last Update Date | 2025-11-20 |