| NPI | 1750217279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY LEIDY GOMEZ CUENCA Owner 201-471-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-06-22 |
| Last Update Date | 2026-06-22 |