Active NPI
Jedi Force Inc
Doing business as Medic Sabor Medical Supplies
- Durable Medical Equipment & Medical Supplies
- El Paso, TX
National Provider Identifier
1588281174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- JEDI FORCE INC
- Doing business as
- Medic Sabor Medical Supplies
- Practice address
- 2004 Montana Ave Ste C
El Paso, TX 79903-3414 - Phone
- (915) 702-3683
- Fax
- (915) 201-1318
- NPI assigned
- Jun 29, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raphael Hernandez
- Title
- President
- Phone
- (915) 702-3683
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2004 Montana Ave Ste C
El Paso, TX 79903-3414
Mailing address
2004 Montana Ave Ste C
El Paso, TX 79903-3414
Phone (915) 702-3683
Other names 1
- MEDIC SABOR MEDICAL SUPPLIES
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | RAPHAEL@MEDICSABOR.COM | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryLocations
2004 Montana Ave
Ste C
El Paso, TX 79903
Phone (915) 702-3683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1593388800000",
"number": "1588281174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 MONTANA AVE STE C",
"city": "EL PASO",
"state": "TX",
"postal_code": "799033414",
"telephone_number": "915-702-3683",
"fax_number": "915-201-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 MONTANA AVE STE C",
"city": "EL PASO",
"state": "TX",
"postal_code": "799033414",
"telephone_number": "915-702-3683",
"fax_number": "915-201-1318"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEDI FORCE INC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "RAPHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-702-3683",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "RAPHAEL@MEDICSABOR.COM",
"affiliation": "N",
"endpointDescription": "EMAIL ADDRESS",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2004 Montana Ave Ste C",
"city": "El Paso",
"state": "TX",
"country_code": "US",
"postal_code": "799033414",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "MEDIC SABOR MEDICAL SUPPLIES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.