| NPI | 1689494973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE IBALMEA GONZALEZ Director 469-508-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-12 |