Roadrunner DME Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0097246 Issued in TX

Legal business name

ROADRUNNER DME CORPORATION

Doing business as

Roadrunner DME

Practice address

715 E Frontage
Suite C
Alamo, TX 78516-2322

Phone

(956) 783-7155

Fax

(956) 783-7160

NPI assigned

Aug 15, 2007

Last updated

Oct 30, 2024By 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

Yolanda Martinez

Title

Administrator

Phone

(956) 783-7155

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Roadrunner DME Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1417149287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E FRONTAGE",
            "address_2": "SUITE C",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "78516",
            "telephone_number": "956-783-7155",
            "fax_number": "956-783-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E FRONTAGE",
            "address_2": "SUITE C",
            "city": "ALAMO",
            "state": "TX",
            "postal_code": "785162322",
            "telephone_number": "956-783-7155",
            "fax_number": "956-783-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROADRUNNER DME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-783-7155"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0097246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189752201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0097246",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189752202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roadrunner DME",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Roadrunner DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anay E Rangel, RN
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• Ivan Rodriguez, CPHT
• Jose A Rodriguez, PA-C
• Karla Rodriguez, BCBA, LBA
• Amorette Salas, SLPA
• Ana M Salas, COTA

• Durable Medical Equipment & Medical Supplies in Alamo, TX
• Providers in Alamo, 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 Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.