Provider Demographics
NPI:1477581601
Name:VALVERDE MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:VALVERDE MEDICAL EQUIPMENT
Other - Org Name:G E MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:VALVERDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-595-2460
Mailing Address - Street 1:11385 JAMES WATT DR
Mailing Address - Street 2:B-1
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6568
Mailing Address - Country:US
Mailing Address - Phone:915-595-2460
Mailing Address - Fax:915-595-3229
Practice Address - Street 1:11385 JAMES WATT DR
Practice Address - Street 2:B-1
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-6568
Practice Address - Country:US
Practice Address - Phone:915-595-2460
Practice Address - Fax:915-595-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-28
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0059831332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM19023260OtherNEW MEXICO MEDICAID
TX532090OtherBLUE CROSS
TX151806004Medicaid
TX151806003Medicaid
0007550366OtherAETNA
TX151806003Medicaid