Organization Active NPI

Mondev Medical Solutions LLC, Dba Specialized Medical Solutions

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
National Provider Identifier
1629414933
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MONDEV MEDICAL SOLUTIONS LLC, DBA SPECIALIZED MEDICAL SOLUTIONS
Doing business as
Specialized Medical Solutions
Practice address
7254 Blanco Rd Ste 208
San Antonio, TX 78216-4930
Phone
(512) 787-4902
NPI assigned
May 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Mr. Ruben Becerra Jr.
Title
Owner
Phone
(512) 787-4902

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

7254 Blanco Rd Ste 208
San Antonio, TX 78216-4930

Mailing address

7254 Blanco Rd Ste 208
San Antonio, TX 78216-4930
Phone (210) 236-9824

Other names 1

  • Specialized Medical Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140205000495 TX DME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Medical Supply Company 7911136395 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mondev Medical Solutions LLC7254 Blanco Rd, San Antonio, TX 78216-4930(210) 236-9824 Pneumatic Compression Devices and/or Supplies|Breast Prostheses and/or Accessories|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Feb 5, 2014

National Provider Directory

National Provider Directory

Locations

7254 Blanco Rd
Ste 202
San Antonio, TX 78216

7254 Blanco Rd
Ste 208
San Antonio, TX 78216
Phone (210) 236-9824

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1629414933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-236-9824",
            "fax_number": "210-257-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "512-787-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONDEV MEDICAL SOLUTIONS LLC, DBA SPECIALIZED MEDICAL SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-14",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-787-4902",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specialized Medical Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.