| NPI | 1689171506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PEREZ DE ALDERETE Sole Mbr 754-245-1155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2018-04-08 |