Organization Active NPI

Restoration Medical Equipment & Supply Co. LLC

  • Durable Medical Equipment & Medical Supplies
  • Laredo, TX
National Provider Identifier
1710951017
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0067100 Issued in TX
Legal business name
RESTORATION MEDICAL EQUIPMENT & SUPPLY CO. LLC
Practice address
6801 McPherson Rd
Ste 103
Laredo, TX 78041-6403
Phone
(956) 753-6767
Fax
(956) 753-6753
NPI assigned
Feb 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Authorized official

Name
Mr. Robert E Garcia Jr.
Title
Owner
Phone
(956) 753-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0067100 TX Primary

Addresses

Primary practice location

6801 McPherson Rd
Ste 103
Laredo, TX 78041-6403

Mailing address

6801 McPherson Rd
Ste 103
Laredo, TX 78041-6403
Phone (956) 753-6767

Other identifiers 2

IdentifierTypeStateIssuer
1630154-02MedicaidTX
1630154-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930082670 TX DME Supplier - Medical Supply Company 8729294160 Practice locations: Laredo, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Restoration Medical Equipment & Sup6801 McPherson Rd, Laredo, TX 78041-6403(956) 753-6767 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators an… Does not accept assignmentParticipating since Jun 5, 2003

National Provider Directory

National Provider Directory

Locations

6801 McPherson Rd
Ste 103
Laredo, TX 78041
Phone (956) 753-6767

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1710951017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON RD",
            "address_2": "STE 103",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416403",
            "telephone_number": "956-753-6767",
            "fax_number": "956-753-6753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 MCPHERSON RD",
            "address_2": "STE 103",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416403",
            "telephone_number": "956-753-6767",
            "fax_number": "956-753-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION MEDICAL EQUIPMENT & SUPPLY CO. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-753-6767",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0067100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1630154-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1630154-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.