Shoe Specialists of Laredo & Medical Supply LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

32021418402 Issued in TX

Legal business name

SHOE SPECIALISTS OF LAREDO & MEDICAL SUPPLY LLC

Practice address

517 Shiloh Dr
Ste4
Laredo, TX 78045-6722

Phone

(956) 508-7666

NPI assigned

Mar 17, 2010

Last updated

Jan 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss San Juanita Martinez, SHOE FITTER

Title

Shoe Fitter

Phone

(956) 775-7832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1649594870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 SHILOH DR",
            "address_2": "STE4",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456722",
            "telephone_number": "956-508-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 SHILOH DR",
            "address_2": "STE4",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456722",
            "telephone_number": "956-508-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOE SPECIALISTS OF LAREDO & MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "SAN JUANITA",
        "authorized_official_title_or_position": "SHOE FITTER",
        "authorized_official_telephone_number": "956-775-7832",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "SHOE FITTER"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "32021418402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gollapudi Siva Shankar, MS, PHARMD, PHC, BCP
• 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.

• Customized Equipment (DME) in Laredo, TX
• Providers in Laredo, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.