Provider Demographics
NPI:1346959558
Name:5 STARS DME LLC
Entity Type:Organization
Organization Name:5 STARS DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:VICENTE
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-701-3509
Mailing Address - Street 1:501 MARINA CT STE 1A
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78046-4065
Mailing Address - Country:US
Mailing Address - Phone:956-701-3509
Mailing Address - Fax:956-701-3511
Practice Address - Street 1:501 MARINA CT STE 1A
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78046-4065
Practice Address - Country:US
Practice Address - Phone:956-701-3509
Practice Address - Fax:956-701-3511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies