Organization Active NPI

Advantage DME

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
National Provider Identifier
1609918440
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANTAGE DME
Practice address
1209 E Jasmine Ave
Suite C
McAllen, TX 78501-5742
Phone
(956) 682-5882
Fax
(956) 682-5892
NPI assigned
Feb 12, 2007
Last updated
Nov 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Mr. Juan Manuel Garza
Title
Owner
Phone
(956) 655-4504

Specialties & licenses 1

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

Addresses

Primary practice location

1209 E Jasmine Ave
Suite C
McAllen, TX 78501-5742

Mailing address

1209 E Jasmine Ave
Suite C
McAllen, TX 78501-5742
Phone (956) 682-5882

Other identifiers 2

IdentifierTypeStateIssuer
179440602MedicaidTX
179440601MedicaidTX

National Provider Directory

National Provider Directory

Locations

1209 E Jasmine Ave
Ste C
McAllen, TX 78501
Phone (956) 682-5882

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1609918440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 E JASMINE AVE",
            "address_2": "SUITE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015742",
            "telephone_number": "956-682-5882",
            "fax_number": "956-682-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 E JASMINE AVE",
            "address_2": "SUITE C",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785015742",
            "telephone_number": "956-682-5882",
            "fax_number": "956-682-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE DME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-655-4504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179440602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179440601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 4, 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.