Del Rio Home Oxygen LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DEL RIO HOME OXYGEN LLC

Practice address

1308 N Bedell Ave
Del Rio, TX 78840-7818

Phone

(830) 768-1818

Fax

(830) 778-8618

NPI assigned

Nov 14, 2005

Organization subpart

No

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

Authorized official

Name

Kenneth Edward Wiese

Title

General Manager

Phone

(830) 775-4060

Specialties & licenses 3

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1174505440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E 7TH ST",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404162",
            "telephone_number": "830-775-4060",
            "fax_number": "830-775-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 N BEDELL AVE",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788407818",
            "telephone_number": "830-768-1818",
            "fax_number": "830-778-8618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL RIO HOME OXYGEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "830-775-4060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0082294",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDER ID",
            "identifier": "507642",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176079501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176079502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "530697",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danny Salvador De Hoyos, FNP-C
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• Del Rio I Enterprises, LLC
• Del Rio Physical Therapy and Rehabilitation Center Inc
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• Del Rio Therapy, P.C.
• Del Rio'S Chiro Connection PLLC

• Durable Medical Equipment & Medical Supplies in Del Rio, TX
• Providers in Del Rio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.