Organization Active NPI

Manna Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Brownsville, TX
National Provider Identifier
1104984095
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0092046 Issued in TX
Legal business name
MANNA MEDICAL EQUIPMENT
Practice address
2685 N Coria St
Ste C-1
Brownsville, TX 78520-8810
Phone
(956) 541-6600
Fax
(956) 541-9676
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jee Dellota
Title
Owner
Phone
(956) 541-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0092046 TX Primary

Addresses

Primary practice location

2685 N Coria St
Ste C-1
Brownsville, TX 78520-8810

Mailing address

2685 N Coria St
Ste C-1
Brownsville, TX 78520-8810
Phone (956) 541-6600

National Provider Directory

National Provider Directory

Locations

2685 N Coria St
Ste C1
Brownsville, TX 78520
Phone (956) 541-6600

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104984095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2685 N CORIA ST",
            "address_2": "STE C-1",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208810",
            "telephone_number": "956-541-6600",
            "fax_number": "956-541-9676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2685 N CORIA ST",
            "address_2": "STE C-1",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208810",
            "telephone_number": "956-541-6600",
            "fax_number": "956-541-9676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANNA MEDICAL EQUIPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DELLOTA",
        "authorized_official_first_name": "JEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-541-6600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0092046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.