| NPI | 1992583629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENITO O GONZALEZ MORA Owner 786-644-2837 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-21 |