Organization Active NPI

M.L. Valencia Family, L.P.

  • Durable Medical Equipment & Medical Supplies
  • San Juan, TX
National Provider Identifier
1679575716
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0053352 Issued in TX
Legal business name
M.L. VALENCIA FAMILY, L.P.
Doing business as
Valleywide DME
Practice address
1103 N Raul Longoria Rd
San Juan, TX 78589-3600
Phone
(956) 783-9112
Fax
(956) 787-4586
NPI assigned
Aug 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Jorge Arango
Title
Administrator
Phone
(956) 783-9112

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0053352 TX Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 0053352 TX
Oxygen Equipment & Supplies (DME) 332BX2000X 0053352 TX

Addresses

Primary practice location

1103 N Raul Longoria Rd
San Juan, TX 78589-3600

Mailing address

1103 N Raul Longoria Rd
San Juan, TX 78589-3600
Phone (956) 783-9112

Other identifiers 1

IdentifierTypeStateIssuer
144263401MedicaidTX

Other names 1

  • Valleywide DME Doing business as

National Provider Directory

National Provider Directory

Locations

1103 N Raul Longoria Rd
San Juan, TX 78589
Phone (956) 783-7368

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1679575716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893600",
            "telephone_number": "956-783-9112",
            "fax_number": "956-787-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 N RAUL LONGORIA RD",
            "city": "SAN JUAN",
            "state": "TX",
            "postal_code": "785893600",
            "telephone_number": "956-783-9112",
            "fax_number": "956-787-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.L. VALENCIA FAMILY, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "ARANGO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-783-9112"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0053352",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "TX",
            "license": "0053352",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0053352",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144263401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valleywide DME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Juan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.

Verify at the official NPI Registry.