El Valle Medical Supplies, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0082506 Issued in TX

Legal business name

EL VALLE MEDICAL SUPPLIES, LLC

Practice address

4851 W US Highway 83
Roma, TX 78584

Phone

(956) 849-2831

Fax

(956) 849-2833

NPI assigned

Jun 28, 2006

Last updated

Jun 6, 2023By 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

Genesis Aileen Trevino

Title

Owner / Administration

Phone

(956) 849-2831

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1902834146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "785840719",
            "telephone_number": "956-849-2831",
            "fax_number": "956-849-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4851 W US HIGHWAY 83",
            "city": "ROMA",
            "state": "TX",
            "postal_code": "78584",
            "telephone_number": "956-849-2831",
            "fax_number": "956-849-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL VALLE MEDICAL SUPPLIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "TREVINO",
        "authorized_official_first_name": "GENESIS",
        "authorized_official_middle_name": "AILEEN",
        "authorized_official_title_or_position": "OWNER / ADMINISTRATION",
        "authorized_official_telephone_number": "956-849-2831"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0082506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178535401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jorge Javier Escobar Jr., M.D.
• Miguel Angel Fernandez Jr., PHARM. D.
• Renee Elaine Marinas Galace

• 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 Jun 6, 2023; 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.