Organization Active NPI

Del Valle Medical Supply LLC

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
National Provider Identifier
1720618754
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEL VALLE MEDICAL SUPPLY LLC
Practice address
1510 W Dove Ave
McAllen, TX 78504-3439
Phone
(956) 627-3338
Fax
(956) 627-3487
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Authorized official

Name
Mario Daniel Flores Jr.
Title
Owner
Phone
(956) 627-3338

Specialties & licenses 1

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

Addresses

Primary practice location

1510 W Dove Ave
McAllen, TX 78504-3439

Mailing address

1510 W Dove Ave
McAllen, TX 78504-3439
Phone (956) 627-3338

Other identifiers 1

IdentifierTypeStateIssuer
198884201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL delvallecsr@gmail.com

National Provider Directory

National Provider Directory

Locations

1510 W Dove Ave
McAllen, TX 78504
Phone (956) 627-3338

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581465600000",
    "number": "1720618754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 W DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043439",
            "telephone_number": "956-627-3338",
            "fax_number": "956-627-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 W DOVE AVE",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785043439",
            "telephone_number": "956-627-3338",
            "fax_number": "956-627-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEL VALLE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-627-3338",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198884201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "delvallecsr@gmail.com",
            "affiliation": "N",
            "address_1": "1510 W Dove Ave",
            "city": "McAllen",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785043439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.