Organization Active NPI

Agi D M E Inc

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1356590277
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
AGI D M E INC
Practice address
15600 San Pedro Ave
Suite 203
San Antonio, TX 78232-3740
Phone
(210) 858-2040
NPI assigned
Sep 16, 2008
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Rafael Tomas Orellana
Title
Vice President
Phone
(210) 858-2040

Specialties & licenses 1

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

Addresses

Primary practice location

15600 San Pedro Ave
Suite 203
San Antonio, TX 78232-3740

Mailing address

15600 San Pedro Ave
Suite 203
San Antonio, TX 78232-3740
Phone (210) 858-2040

Other identifiers 1

IdentifierTypeStateIssuer
6392770001OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

11503 Jones Maltsberger Rd
#225
San Antonio, TX 78216
Phone (210) 858-2040

12042 Blanco Rd
Ste 120A
San Antonio, TX 78216
Phone (210) 858-2040

15600 San Pedro Ave
Ste 203
San Antonio, TX 78232
Phone (210) 858-2040

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1356590277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE",
            "address_2": "SUITE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323740",
            "telephone_number": "210-858-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 SAN PEDRO AVE",
            "address_2": "SUITE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323740",
            "telephone_number": "210-858-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGI D M E INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "ORELLANA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "TOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-858-2040"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6392770001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.