Provider Demographics
NPI:1003118688
Name:ACLANZA LLC
Entity Type:Organization
Organization Name:ACLANZA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:OMAR
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-330-2019
Mailing Address - Street 1:900 PLAZA DR
Mailing Address - Street 2:SUITE 4B
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6045
Mailing Address - Country:US
Mailing Address - Phone:956-330-2019
Mailing Address - Fax:
Practice Address - Street 1:900 PLAZA DR
Practice Address - Street 2:SUITE 4B
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6045
Practice Address - Country:US
Practice Address - Phone:956-330-2019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-02
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies