Active NPI
M.L. Valencia Family, L.P.
- Durable Medical Equipment & Medical Supplies
- San Juan, TX
National Provider Identifier
1679575716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 0053352
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 144263401 | Medicaid | TX |
Other names 1
- Valleywide DME
National Provider Directory
National Provider DirectoryLocations
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.