Pedro Medrano

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

11420096429 Issued in TX

Practice address

50 N Vermont Ave
Suite #a
Mercedes, TX 78570-2519

Phone

(956) 565-9438

Fax

(956) 565-9398

NPI assigned

Apr 13, 2012

Last updated

Apr 13, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pedro Medrano

  dba GO DME Medical Equipment & Supply

  • Durable Medical Equipment & Medical Supplies
  • Mercedes, TX
  • NPI 1427384981
  Authorized official Same address or phone

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1871850909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N VERMONT AVE",
            "address_2": "SUITE #A",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702519",
            "telephone_number": "956-565-9438",
            "fax_number": "956-565-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N VERMONT AVE",
            "address_2": "SUITE #A",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702519",
            "telephone_number": "956-565-9438",
            "fax_number": "956-565-9398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "PEDRO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "11420096429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281518501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281518502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Maldonado, LCSW
• Berenice Martinez, M.A. BCBA
• Jonathon Camden Martinez, PT, DPT
• Lora Nadine Martinez, O.D.
• Nereida Martinez, OTR
• Mercedes Adult Day Care, LLC
• Mercedes Isd
• Mercedes Isd
• Mid Valley Homecare Services, LLC.
• Mid Valley Medical Supplies LLC

• Durable Medical Equipment & Medical Supplies in Mercedes, TX
• Providers in Mercedes, 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 Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.