| NPI | 1669155610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICENTE GOMEZ GONZALEZ Owner 786-636-8908 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2024-05-01 |