Specialty Dialysis Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPECIALTY DIALYSIS SERVICES, INC

Practice address

1001 Miller Ave
Mission, TX 78572-4115

Phone

(956) 248-6808

Fax

(956) 627-5655

NPI assigned

Oct 18, 2017

Organization subpart

No

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

Authorized official

Name

Hugo Heberto Gutierrez Sr.

Title

Ceo

Phone

(956) 248-6808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1285145268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 E GRIFFIN PKWY # 202",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785723180",
            "telephone_number": "956-248-6808",
            "fax_number": "956-627-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MILLER AVE",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785724115",
            "telephone_number": "956-248-6808",
            "fax_number": "956-627-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY DIALYSIS SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "HEBERTO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "956-248-6808",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.