| NPI | 1669986923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACINTO RAIDER FALCON President 305-731-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-11-24 |
| Last Update Date | 2017-11-24 |