Corazon del Valle DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0077358 Issued in TX

Legal business name

CORAZON DEL VALLE DME LLC

Doing business as

Merida Health Care Group

Practice address

1514 S. 77 Sunshine Strip Ste 24
Harlingen, TX 78550

Phone

(956) 797-3730

Fax

(956) 797-3779

NPI assigned

Nov 3, 2006

Organization subpart

No

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

Authorized official

Name

Rodney Mesquias

Title

Owner

Phone

(956) 797-3730

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• MERIDA HEALTH CARE GROUP Doing business as

Locations

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1225117765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 S. 77 SUNSHINE STRIP STE 24",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785505294",
            "telephone_number": "956-797-3730",
            "fax_number": "956-797-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 S. 77 SUNSHINE STRIP STE 24",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-797-3730",
            "fax_number": "956-797-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORAZON DEL VALLE DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "MESQUIAS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-797-3730"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0077358",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0077358",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174153001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERIDA HEALTH CARE GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Harlingen, TX
• Providers in Harlingen, 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 Jan 9, 2017; 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.