San Lorenzo Durable Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAN LORENZO DURABLE MEDICAL EQUIPMENT LLC

Doing business as

San Lorenzo Durable Medical Equipment, LLC

Practice address

5819 Sun Valley Dr
El Paso, TX 79924-3517

Phone

(915) 799-3199

Fax

(915) 234-2831

NPI assigned

Dec 5, 2022

Last updated

Feb 5, 2024By 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

Melissa Portillo

Title

Administrator

Phone

(915) 799-3199

Specialties & licenses 1

Addresses

Other names 1

• San Lorenzo Durable Medical Equipment, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707091200000",
    "number": "1669182259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5819 SUN VALLEY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799243517",
            "telephone_number": "915-234-2830",
            "fax_number": "915-234-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5819 SUN VALLEY DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799243517",
            "telephone_number": "915-799-3199",
            "fax_number": "915-234-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN LORENZO DURABLE MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "915-799-3199"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Lorenzo Durable Medical Equipment, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Lorenzo Durable Medical Equipment, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• San Antonio in Home Health Care
• San Jose Moscati Medical Home
• Sandra San Jose, CCC-SLP
• Jesse Angelica Quitalig San Juan, M.D.
• San Lorenzo Adult Provider Services and Pediatrics LLC (San Lorenzo Adult Provider Services and Pediatrics)
• San Mateo Personal Assistance Services
• Eliza B San Roman, D.O., F.A.C.N.
• Mark Edward Sanborn, D.D.S.
• Miguel Gregorio Sanchez Acosta
• Joanne Sanchez Arias, PT

• Durable Medical Equipment & Medical Supplies in El Paso, TX
• Providers in El Paso, 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 Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.