Organization Active NPI

MM Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Eagle Pass, TX
National Provider Identifier
1457270605
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MM MEDICAL SUPPLIES LLC
Practice address
252 County Road 501
Eagle Pass, TX 78852-5769
Phone
(830) 421-0436
NPI assigned
Jul 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Authorized official

Name
Rafael Olivares
Title
Member
Phone
(830) 421-0436

Specialties & licenses 1

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

Addresses

Primary practice location

252 County Road 501
Eagle Pass, TX 78852-5769

Mailing address

252 County Road 501
Eagle Pass, TX 78852-5769
Phone (830) 421-0436

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1457270605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 COUNTY ROAD 501",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525769",
            "telephone_number": "830-421-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 COUNTY ROAD 501",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525769",
            "telephone_number": "830-421-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "OLIVARES",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "830-421-0436"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.