Provider Demographics
NPI:1043093784
Name:MEDICA 2000 USA LLC
Entity Type:Organization
Organization Name:MEDICA 2000 USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MODESTO
Authorized Official - Middle Name:ALONZO
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-744-1264
Mailing Address - Street 1:14203 BUSINESS AVE
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7909
Mailing Address - Country:US
Mailing Address - Phone:956-744-1264
Mailing Address - Fax:
Practice Address - Street 1:14203 BUSINESS AVE
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-7909
Practice Address - Country:US
Practice Address - Phone:956-744-1264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-16
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies