Organization Active NPI

San Juan DME

  • Durable Medical Equipment & Medical Supplies
  • San Juan, TX
National Provider Identifier
1578919882
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SAN JUAN DME
Practice address
2604 N Raul Longoria Rd
Suite 203
San Juan, TX 78589-4283
Phone
(956) 781-8600
Fax
(956) 781-8606
NPI assigned
May 5, 2016
Last updated
Feb 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Ms. Yvonne Francis Lopez
Title
President
Phone
(956) 781-8600

Specialties & licenses 1

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

Addresses

Primary practice location

2604 N Raul Longoria Rd
Suite 203
San Juan, TX 78589-4283

Mailing address

2604 N Raul Longoria Rd
Suite 203
San Juan, TX 78589-4283
Phone (956) 781-8600

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1578919882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 N RAUL LONGORIA RD",
            "address_2": "SUITE 203",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894283",
            "telephone_number": "956-781-8600",
            "fax_number": "956-781-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 N RAUL LONGORIA RD",
            "address_2": "SUITE 203",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785894283",
            "telephone_number": "956-781-8600",
            "fax_number": "956-781-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JUAN DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-05",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-781-8600",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 13, 2018; 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.