| NPI | 1730904087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE HERNANDEZ Owner/Authorized Official 754-529-8109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |