Maria M. Samudia

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0087745 Issued in TX

Legal business name

MARIA M. SAMUDIA

Practice address

1610 E Griffin Pkwy
Mission, TX 78572-3180

Phone

(956) 424-3232

Fax

(956) 581-0635

NPI assigned

Mar 9, 2006

Organization subpart

No

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

Authorized official

Name

Maria M Samudia

Title

Owner

Phone

(956) 687-9559

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PRIMELINE DME Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

Locations

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1124096722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723180",
            "telephone_number": "956-424-3232",
            "fax_number": "956-581-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 E GRIFFIN PKWY",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723180",
            "telephone_number": "956-424-3232",
            "fax_number": "956-581-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA M. SAMUDIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "SAMUDIA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-687-9559"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0087745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185897902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185897901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRIMELINE DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miguel Joel Manzanero
• Berenice Mares, PTA
• Alma Rosa Marez, LPC
• Annette Ida Margo, PH.D.
• Maria Aguinaga MD PA
• Jose Mario Marina Jr., D.O.
• Mario R Anzaldua MD PA
• Mariposas Hermosas del Valle
• Marisol Ozuna
• Marlene Chang-Brown, M.D., P.a.

• All providers in Mission, TX
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.