GUATEVIDA LLC NPI 1053714915

NPI Information

  • NPI: 1053714915
  • Provider Name: GUATEVIDA LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: DERMITECH PHOTOTHERAPY
  • Address: 14330 MIDWAY RD STE 229
    DALLAS, TX
    ZIP 75244
  • Phone: (214) 377-8144

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NPI Details

GUATEVIDA LLC is a durable medical equipment medical supplies in Dallas, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GUATEVIDA LLC NPI is 1053714915. The provider is registered as an organization entity type.
The provider Is Doing Business As Dermitech Phototherapy.

The provider's business location address is:

14330 MIDWAY RD STE 229
DALLAS, TX
ZIP 75244-514
Phone: (214) 377-8144
Fax: (214) 414-2533

The provider's authorized official is John Riley .
The authorized official title is Owner and has the following contact phone number (214) 695-4942.

The enumeration date for this NPI number is 10/6/2014 and was last updated on 12/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo

What is NPI?

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This page was last updated on: 3/30/2025

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