Organization Active NPI

M.L. Valencia Family LP

Doing business as Valleywide DME

  • Durable Medical Equipment & Medical Supplies
  • San Juan, TX
National Provider Identifier
1437407665
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
M.L. VALENCIA FAMILY LP
Doing business as
Valleywide DME
Practice address
1103 N Raul Longoria Rd
San Juan, TX 78589-3600
Phone
(956) 783-9112
Fax
(956) 787-4586
NPI assigned
Aug 20, 2012
Last updated
Sep 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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

Authorized official

Name
Mr. Jorge Arango
Title
Administrator
Phone
(956) 783-9112

Specialties & licenses 1

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

Addresses

Primary practice location

1103 N Raul Longoria Rd
San Juan, TX 78589-3600

Mailing address

1103 N Raul Longoria Rd
San Juan, TX 78589-3600
Phone (956) 783-9112

Other identifiers 2

IdentifierTypeStateIssuer
3268187-01MedicaidTX
3268187-02MedicaidTX

Other names 1

  • Valleywide DME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130207000253 TX DME Supplier - Medical Supply Company 0143474759 Practice locations: San Juan, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1103 N Raul Longoria Rd
Ste B
San Juan, TX 78589
Phone (956) 627-3767

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1437407665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893600",
            "telephone_number": "956-783-9112",
            "fax_number": "956-787-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893600",
            "telephone_number": "956-783-9112",
            "fax_number": "956-787-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.L. VALENCIA FAMILY LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "ARANGO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-783-9112",
        "authorized_official_name_prefix": "Mr."
    },
    "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": "3268187-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3268187-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valleywide DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.