Organization
AVIVA MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUILLERMO HERRERA (CEO)
(520) 488-8418
Entity
Organization
Contact information
Practice address
60943 E CANTLE CT, TUCSON, AZ 85739-5927
(520) 488-8418
Mailing address
60943 E CANTLE CT, TUCSON, AZ 85739-5927
(520) 488-8418
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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