La Fuente DME, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LA FUENTE DME, INC.

Practice address

307 E Expressway 83
Sullivan City, TX 78595

Phone

(956) 485-1200

Fax

(956) 485-1201

NPI assigned

Aug 15, 2005

Last updated

Jul 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Noel Arturo Zamora

Title

President

Phone

(956) 485-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1346242849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 280",
            "city": "SULLIVAN CITY",
            "state": "TX",
            "postal_code": "785950280",
            "telephone_number": "956-485-1200",
            "fax_number": "956-485-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E EXPRESSWAY 83",
            "city": "SULLIVAN CITY",
            "state": "TX",
            "postal_code": "78595",
            "telephone_number": "956-485-1200",
            "fax_number": "956-485-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA FUENTE DME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "ARTURO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-485-2400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172765301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• La Fuente Home Health Services, Inc.
• La Fuente Inc. (La Fuente Adult Day Care)
• La Fuente, Inc (La Fuente Primary Home Care)
• Gesler Louis Madhere, PHYSICIAN ASSISTANT
• Malory May Mercado

• Durable Medical Equipment & Medical Supplies in Sullivan City, TX
• Providers in Sullivan City, 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 Jul 15, 2021; 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.