Individual provider Active NPI

Eleazar Rangel, RRTS

  • Customized Equipment (DME)
  • El Paso, TX
National Provider Identifier
1104105089
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1009261 Issued in CO
Practice address
6400 Airport Rd Ste H
El Paso, TX 79925-1049
Phone
(915) 532-4555
Fax
(915) 562-7609
NPI assigned
Aug 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1009261 CO Primary
Other Technician 247200000X 1009261 CO

Addresses

Primary practice location

6400 Airport Rd Ste H
El Paso, TX 79925-1049

Mailing address

6400 Airport Rd Ste H
El Paso, TX 79925-1049
Phone (915) 532-4555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1009261COMDOther Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonia Gabriela Caballero Customized Equipment Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1104105089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 AIRPORT RD STE H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251049",
            "telephone_number": "915-532-4555",
            "fax_number": "915-562-7609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 AIRPORT RD STE H",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799251049",
            "telephone_number": "915-532-4555",
            "fax_number": "915-562-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGEL",
        "first_name": "ELEAZAR",
        "credential": "RRTS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CO",
            "license": "1009261",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CO",
            "license": "1009261",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.