Provider Demographics
NPI:1093041212
Name:AUR-MAR LLC
Entity Type:Organization
Organization Name:AUR-MAR LLC
Other - Org Name:RISING MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:AURELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-548-3779
Mailing Address - Street 1:101 S IRVING AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3433
Mailing Address - Country:US
Mailing Address - Phone:520-548-3779
Mailing Address - Fax:
Practice Address - Street 1:5743 E SPEEDWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5023
Practice Address - Country:US
Practice Address - Phone:520-886-7700
Practice Address - Fax:520-886-7710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-22
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ6337870001Medicare NSC