Andreaco Investment Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ANDREACO INVESTMENT INC.

Doing business as

Maverick Medical Supply

Practice address

2210 N Veterans Blvd
Ste. 120
Eagle Pass, TX 78852-6458

Phone

(830) 968-7740

Fax

(830) 757-9002

NPI assigned

Sep 2, 2014

Last updated

Sep 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mario Alberto Diaz

Title

President

Phone

(830) 968-7740

Specialties & licenses 1

Addresses

Other names 1

• MAVERICK MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1730589359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 N VETERANS BLVD",
            "address_2": "STE. 120",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526458",
            "telephone_number": "830-968-7740",
            "fax_number": "830-757-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 N VETERANS BLVD",
            "address_2": "STE. 120",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788526458",
            "telephone_number": "830-968-7740",
            "fax_number": "830-757-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREACO INVESTMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-968-7740",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAVERICK MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.