Mediserve LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

MEDISERVE LLC

Doing business as

MEDISERVE LLC

Practice address

232 Lindberg Ave
McAllen, TX 78501-2920

Phone

(956) 536-1277

Fax

(956) 682-7780

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Javier Barbosa, OWNER

Title

Chief Financial Officer

Phone

(956) 536-1277

Specialties & licenses 3

Addresses

Other names 1

• MEDISERVE LLC Doing business as

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1578974168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012913",
            "telephone_number": "956-536-1277",
            "fax_number": "956-682-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 LINDBERG AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785012920",
            "telephone_number": "956-536-1277",
            "fax_number": "956-682-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDISERVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "BARBOSA",
        "authorized_official_first_name": "JAVIER",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "956-536-1277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDISERVE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martha Carmen Medina, PA - C
• Melecio Jesus Medina, MD
• Ruby Medina
• Valerie Catherine Medina, COTA
• Mediquip Mobility
• Medpoint Dental PA
• Devany Evelyn Medrano - Davila, LCSW
• Chelsie L Medrano, OTR
• Fernando Medrano Jr.
• Maricela S. Medrano, LCSW

• Physical Therapy Clinic/Center in McAllen, TX
• Providers in McAllen, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.