Active NPI
Oscar San Miguel Jr Med-Pro
- Durable Medical Equipment & Medical Supplies
- Del Rio, TX
National Provider Identifier
1003166752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121220000235 | TX | DME Supplier - Medical Supply Company With Pedorthic Personnel | 2062664006 | Practice locations: Del Rio, TX |
Laboratory certificates & supplier records
Derived by NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Med-Pro | Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Does not accept assignment |
National Provider Directory
National Provider DirectoryNPI 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.