| NPI | 1780749085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN A PUENTES Director 305-442-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |