| NPI | 1790218212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS A MENDEZ DELGADO Manager 786-838-9476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |