| NPI | 1700545100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SANTIAGO ZULUETA Manager 866-358-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |