| NPI | 1861340796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE MIGUEL MEDINA MENDEZ Owner 623-462-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-03-17 |
| Last Update Date | 2026-03-17 |