Active NPI
O2 DME Durable Equipment & Supply LLC
- Oxygen Equipment & Supplies (DME)
- Rio Grande City, TX
National Provider Identifier
1669794467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- Legal business name
- O2 DME DURABLE EQUIPMENT & SUPPLY LLC
- Practice address
- 103 Kain St Unit 1
Rio Grande City, TX 78582-6667 - Phone
- (956) 263-1630
- Fax
- (956) 263-1602
- NPI assigned
- Feb 19, 2010
- Last updated
- Jan 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marivel Perez
- Title
- Office Manager
- Phone
- (956) 263-1630
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | TX | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | TX | Primary |
Addresses
Primary practice location
103 Kain St Unit 1
Rio Grande City, TX 78582-6667
Mailing address
103 S Kain St Unit 1
Rio Grande City, TX 78582-4221
Phone (956) 263-1630
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214149102 | Medicaid | TX | |
| 214149101 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1326326400000",
"number": "1669794467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 S KAIN ST UNIT 1",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785824221",
"telephone_number": "956-263-1630",
"fax_number": "956-263-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 KAIN ST UNIT 1",
"city": "RIO GRANDE CITY",
"state": "TX",
"postal_code": "785826667",
"telephone_number": "956-263-1630",
"fax_number": "956-263-1602"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "O2 DME DURABLE EQUIPMENT & SUPPLY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-19",
"last_updated": "2012-01-12",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "MARIVEL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "956-263-1630"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214149102",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214149101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande City, TX
- Ryan Ninal, PHARMD
- Norberto Cantu Jr DDS PA
- Nuestra Clinica del Valle Inc
- Nuestra Clinica del Valle Inc (Nuestra Clinica Del Valle - Rio Grande City)
- Nuestro Nutrition
- Oakbend Medical Center (Starr County Nursing and Transitional Care)
- Oasis Dermatology Starr County PLLC (Dermatology Clinic of Starr County)
- Alberto Olivarez
- One for All BC LLC
- Orco Services, Inc. (Mi Jardin Del Rio Adult Day Center 1)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.