Provider Demographics
NPI:1477881977
Name:GEMINI MEDICAL SUPPLY LLC
Entity Type:Organization
Organization Name:GEMINI MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSELIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-460-3456
Mailing Address - Street 1:4854 S JACKSON RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-6569
Mailing Address - Country:US
Mailing Address - Phone:956-460-3456
Mailing Address - Fax:956-783-8212
Practice Address - Street 1:4854 S JACKSON RD
Practice Address - Street 2:SUITE 3
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-6569
Practice Address - Country:US
Practice Address - Phone:956-460-3456
Practice Address - Fax:956-783-8212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-23
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies