Organization Active NPI

Javier Rocha

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
National Provider Identifier
1528034113
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0077185 Issued in TX
Legal business name
JAVIER ROCHA
Practice address
5407 N McColl Rd
Suite a-2
McAllen, TX 78504-2250
Phone
(956) 994-3904
Fax
(956) 994-3951
NPI assigned
Feb 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
Mr. Javier Rocha, PT
Title
Owner
Phone
(956) 994-3904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0077185 TX Primary

Addresses

Primary practice location

5407 N McColl Rd
Suite a-2
McAllen, TX 78504-2250

Mailing address

5407 N McColl Rd
Suite a-2
McAllen, TX 78504-2250
Phone (956) 994-3904

Other identifiers 2

IdentifierTypeStateIssuer
170305002MedicaidTX
170305001MedicaidTX

Other names 1

  • San Miguel Medical Supply Doing business as

National Provider Directory

National Provider Directory

Locations

5407 N McColl Rd
Ste A2
McAllen, TX 78504
Phone (956) 994-3904

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1528034113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 N MCCOLL RD",
            "address_2": "SUITE A-2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042250",
            "telephone_number": "956-994-3904",
            "fax_number": "956-994-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5407 N MCCOLL RD",
            "address_2": "SUITE A-2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785042250",
            "telephone_number": "956-994-3904",
            "fax_number": "956-994-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVIER ROCHA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-24",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "ROCHA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-994-3904",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0077185",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170305002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170305001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Miguel Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.