Organization Active NPI

Jedi Force Inc

Doing business as Medic Sabor Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • El Paso, TX
National Provider Identifier
1588281174
Registry record updated Jun 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Jun 29, 2020

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address RAPHAEL@MEDICSABOR.COM Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.