Organization Active NPI

Jaime Ortiz

Doing business as Miracle Medical Equipment & Supplies of South Texas

  • Durable Medical Equipment & Medical Supplies
  • Weslaco, TX
National Provider Identifier
1194864306
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0077132 Issued in TX
Legal business name
JAIME ORTIZ
Doing business as
Miracle Medical Equipment & Supplies of South Texas
Practice address
502 E Expressway 83 Ste 16
Weslaco, TX 78596-4538
Phone
(956) 969-9596
NPI assigned
Feb 5, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Jorge Lee Lozano
Title
General Manager
Phone
(956) 969-9596

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0077132 TX Primary

Addresses

Primary practice location

502 E Expressway 83 Ste 16
Weslaco, TX 78596-4538

Mailing address

502 E Expressway 83 Ste 16
Weslaco, TX 78596-4538
Phone (956) 969-9596

Other names 1

  • MIRACLE MEDICAL EQUIPMENT & SUPPLIES OF SOUTH TEXAS Doing business as

National Provider Directory

National Provider Directory

Locations

502 E Expressway 83
Ste 16
Weslaco, TX 78596
Phone (956) 969-9596

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194864306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E EXPRESSWAY 83 STE 16",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964538",
            "telephone_number": "956-969-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E EXPRESSWAY 83 STE 16",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785964538",
            "telephone_number": "956-969-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME ORTIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOZANO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "956-969-9596",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0077132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIRACLE MEDICAL EQUIPMENT & SUPPLIES OF SOUTH TEXAS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, 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.