| NPI | 1730247081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERMIT CALVO Owner 787-856-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PR 1065420001) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |