Organization Active NPI

Amando Pena Jr

  • Durable Medical Equipment & Medical Supplies
  • Rio Grande City, TX
National Provider Identifier
1669740460
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1000795 Issued in TX
Legal business name
AMANDO PENA JR
Practice address
7251 E Hwy 83
Rio Grande City, TX 78582-6347
Phone
(956) 488-8048
Fax
(956) 488-0476
NPI assigned
Dec 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Authorized official

Name
Amando Pena Jr.
Title
Owner
Phone
(956) 488-8048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1000795 TX Primary

Addresses

Primary practice location

7251 E Hwy 83
Rio Grande City, TX 78582-6347

Mailing address

7251 E Hwy 83
Rio Grande City, TX 78582-6347
Phone (956) 488-8048

Other names 1

  • Border Hardware Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323216000000",
    "number": "1669740460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7251 E HWY 83",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826347",
            "telephone_number": "956-488-8048",
            "fax_number": "956-488-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 E HWY 83",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785826347",
            "telephone_number": "956-488-8048",
            "fax_number": "956-488-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDO PENA JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "AMANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-488-8048",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "1000795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Border Hardware",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Grande City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.