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SAN JUAN DME NPI 1578919882


NPI Information

NPI: 1578919882
Provider Name: SAN JUAN DME
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 45D0881212

Address:
2604 N RAUL LONGORIA RD
SUITE 203
SAN JUAN, TX
ZIP 78589
Phone: (956) 781-8600
Get Directions

SAN JUAN DME is a durable medical equipment medical supplies in San Juan, 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. SAN JUAN DME NPI is 1578919882. The provider is registered as an organization entity type.

The provider's business location address is:

2604 N RAUL LONGORIA RD
SUITE 203
SAN JUAN, TX
ZIP 78589-283
Phone: (956) 781-8600
Fax: (956) 781-8606

The provider's authorized official is Yvonne Francis Lopez .
The authorized official title is President and has the following contact phone number (956) 781-8600.

The CLIA number assigned to this NPI record is 45D0881212 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2016 and was last updated on 2/13/2018.


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

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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