| NPI | 1982373221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO GRUZ GRAVERAN President 786-238-7631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-12-02 |