Marquez Medical Supply

Key facts

NPI

1720100829

Entity type

Organization (NPI type 2)

Primary specialty

Durable Medical Equipment & Medical Supplies 332B00000X

Legal business name

MARQUEZ MEDICAL SUPPLY

Practice address

1580 George Dieter Dr
Ste 305
El Paso, TX 79936-7612

Phone

(915) 858-6513

Fax

(915) 856-8617

NPI assigned

Apr 6, 2007

Organization subpart

No

Authorized official

Name

Ms. Edelmira Marquez

Title

Owner

Phone

(915) 850-3652

National Provider Directory

Locations

Interoperability endpoints

• Direct secure messaging: omarqu449@marquezmedicalsupply.kareodirect.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 21, 2008.

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1720100829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 GEORGE DIETER DR",
            "address_2": "SUITE 305",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367612",
            "telephone_number": "915-858-6513",
            "fax_number": "915-856-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 GEORGE DIETER DR",
            "address_2": "STE 305",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799367612",
            "telephone_number": "915-858-6513",
            "fax_number": "915-856-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUEZ MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "EDELMIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-850-3652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172959202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172959201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

• Theodore Marley, PA-C
• Amy Marlin, ATC, L
• Carol Hedwig Marquette, P.A.
• Maria Veronica Marquez de Ortiz, FOSTER HOME
• Guadalupe Marquez de Sanchez
• Marquez Medical Supply LLC
• Marquez Medical Supply LLC
• Dennice Olivia Marquez Morales, SA-C
• Teresa Marquez-Smith, MD
• Alexa-Reign Marquez, OTR

All providers in El Paso, TX · Durable Medical Equipment & Medical Supplies in Texas