Premier DME

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0088046 Issued in TX

Legal business name

PREMIER DME

Practice address

508 W Canton Rd Ste B
Edinburg, TX 78539-6136

Phone

(956) 380-6030

Fax

(956) 383-2212

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Leonel Guerrero

Title

President

Phone

(956) 380-6030

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291507200000",
    "number": "1225248586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W CANTON RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396136",
            "telephone_number": "956-380-6030",
            "fax_number": "956-383-2212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W CANTON RD STE B",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396136",
            "telephone_number": "956-380-6030",
            "fax_number": "956-383-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-12-05",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "LEONEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-380-6030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0088046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181427901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181427903",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181427902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Prestige Provider Services Inc
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• Durable Medical Equipment & Medical Supplies in Edinburg, TX
• Providers in Edinburg, 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 Dec 5, 2010; 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.