Organization Active NPI

Oscar San Miguel Jr Med-Pro

  • Durable Medical Equipment & Medical Supplies
  • Del Rio, TX
National Provider Identifier
1003166752
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OSCAR SAN MIGUEL JR MED-PRO
Practice address
404 E 3Rd St
Del Rio, TX 78840-4408
Phone
(830) 313-8093
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Oscar San Miguel Jr.
Title
Owner
Phone
(830) 313-8093

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

404 E 3Rd St
Del Rio, TX 78840-4408

Mailing address

404 E 3Rd St
Del Rio, TX 78840-4408
Phone (830) 313-8093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000235 TX DME Supplier - Medical Supply Company With Pedorthic PersonnelDME Supplier - Medical Supply Company With Orthotic-Prosthetic 2062664006 Practice locations: Del Rio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Med-Pro404 E 3Rd St, Del Rio, TX 78840-4408(830) 313-8093 Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Does not accept assignmentParticipating since Oct 16, 2012

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1003166752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 E 3RD ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404408",
            "telephone_number": "830-313-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E 3RD ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404408",
            "telephone_number": "830-313-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR SAN MIGUEL JR MED-PRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "SAN MIGUEL",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "830-313-8093",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.