| NPI | 1689556557 |
|---|---|
| Former Legal Business Name | HYDRAVITALIFE LLC |
| Entity Type | Organization |
| Authorized Contact | SARAI CUEVAS POLO Owner 786-320-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |