Shoe Specialists of Laredo & Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SHOE SPECIALISTS OF LAREDO & MEDICAL SUPPLY, LLC

Practice address

205 W Village Blvd
Suite 4
Laredo, TX 78041-2261

Phone

(956) 401-9008

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Rosa M Trevino

Title

Executive Manager

Phone

(956) 740-4017

Specialties & licenses 1

Addresses

Tax ID family

Shoe Specialists of Laredo Medical Supply LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shoe Specialists of Laredo & Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • Laredo, TX
  • NPI 1164715488
  NPD tax ID

Locations

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1639482797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W VILLAGE BLVD",
            "address_2": "SUITE 4",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412261",
            "telephone_number": "956-401-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W VILLAGE BLVD",
            "address_2": "SUITE 4",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780412261",
            "telephone_number": "956-401-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE SPECIALISTS OF LAREDO & MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "956-740-4017",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffry John Shellenberger, M.D.
• Jia Ming Shi, DMD
• Shiloh Medical Supply DME LLC (Shiloh Medical Supplies DME LLC)
• Shoe Specialists of Laredo & Medical Supply LLC
• Shoe Specialists of Laredo & Medical Supply LLC
• Franceska Sifuentes
• Maria Teresa Sifuentes, ANP
• Oswaldo Silva Castillo
• Jaziel Isai Silva-Gonzalez, AU.D.
• Erika Rae Silva, MSN, APRN, FNP-BC

• Durable Medical Equipment & Medical Supplies in Laredo, TX
• Providers in Laredo, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.