Equimedic

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0082152 Issued in TX

Legal business name

EQUIMEDIC

Doing business as

EQUIMEDIC LLC

Practice address

5405 Bandera Rd
Ste 127
San Antonio, TX 78238-1949

Phone

(210) 757-0355

Fax

(210) 647-7877

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hernando Castano

Title

President

Phone

(210) 430-5670

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EQUIMEDIC LLC Doing business as

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1982786638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5405 BANDERA RD",
            "address_2": "STE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381954",
            "telephone_number": "210-757-0355",
            "fax_number": "210-647-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 BANDERA RD",
            "address_2": "STE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381949",
            "telephone_number": "210-757-0355",
            "fax_number": "210-647-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUIMEDIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "CASTANO",
        "authorized_official_first_name": "HERNANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-430-5670",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0082152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180620001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EQUIMEDIC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, 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 Oct 25, 2010; 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.