El Tesoro DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EL TESORO DME LLC

Practice address

4902 W Highway 83
Suite 1
Roma, TX 78584-6302

Phone

(956) 844-2145

NPI assigned

Jun 20, 2012

Last updated

Jan 30, 2013By 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

Linda G Villarreal

Title

Owner

Phone

(956) 844-2145

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1790048189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 W HIGHWAY 83",
            "address_2": "SUITE 1",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785846302",
            "telephone_number": "956-844-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 W HIGHWAY 83",
            "address_2": "SUITE 1",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785846302",
            "telephone_number": "956-844-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL TESORO DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-20",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "VILLARREAL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-844-2145"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vannesa Marie Elizondo, SLP-CCC
• Ensenada Adult Day Care (Roberto J. Garza & Manuela G. Garza)
• Jorge Javier Escobar Jr., M.D.
• Miguel Angel Fernandez Jr., PHARM. D.

• Durable Medical Equipment & Medical Supplies in Roma, TX
• Providers in Roma, 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 Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.