NPIMap

Organization Active NPI

Raymond Trujillo

Doing business as Advantage Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Las Cruces, NM
National Provider Identifier
1619342011
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
03179647008 Issued in NM
Legal business name
RAYMOND TRUJILLO
Doing business as
Advantage Medical Supplies
Practice address
1685 S Don Roser Dr
Suite D
Las Cruces, NM 88011-4586
Phone
(575) 541-4409
Fax
(575) 541-4452
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Authorized official

Name
Raymond TrujilloNPI 1265754477
Title
Owner
Phone
(575) 541-4409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 03179647008 NM Primary

Addresses

Primary practice location

1685 S Don Roser Dr
Suite D
Las Cruces, NM 88011-4586

Mailing address

1685 S Don Roser Dr
Suite D
Las Cruces, NM 88011-4586
Phone (575) 541-4409

Other names 1

  • Advantage Medical Supplies Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1619342011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 S DON ROSER DR",
            "address_2": "SUITE D",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114586",
            "telephone_number": "575-541-4409",
            "fax_number": "575-541-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 S DON ROSER DR",
            "address_2": "SUITE D",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880114586",
            "telephone_number": "575-541-4409",
            "fax_number": "575-541-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND TRUJILLO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "575-541-4409"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "03179647008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.