Jefferson Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

JEFFERSON MEDICAL SUPPLY, INC.

Practice address

4365 Rittiman Rd
San Antonio, TX 78218-3663

Phone

(210) 946-8200

Fax

(210) 946-8204

NPI assigned

May 10, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Rigoberto D'Leon

Title

President

Phone

(210) 946-8200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494374400000",
    "number": "1467988592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 RITTIMAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183663",
            "telephone_number": "210-946-8200",
            "fax_number": "210-946-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4365 RITTIMAN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782183663",
            "telephone_number": "210-946-8200",
            "fax_number": "210-946-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-10",
        "last_updated": "2017-05-10",
        "status": "A",
        "authorized_official_last_name": "D'LEON",
        "authorized_official_first_name": "RIGOBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-946-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jefferson Family Practice
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• Devon Jefferson, LCSW
• Jeffery L. Miller, DDS, Inc (24th Street Dental Care)
• Takarah Kide Jeffery
• Leticia G Jeffords, DDS

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, 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 May 10, 2017; 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.