| NPI | 1790579290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL ANTONIO VIRELLA LIRIANO CEO 315-615-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |