Provider Demographics
NPI:1508215443
Name:DELMA G PULIDO
Entity Type:Organization
Organization Name:DELMA G PULIDO
Other - Org Name:RGV DME REPAIRS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DELMA
Authorized Official - Middle Name:G
Authorized Official - Last Name:PULIDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-494-9004
Mailing Address - Street 1:1918 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596-5144
Mailing Address - Country:US
Mailing Address - Phone:956-494-9004
Mailing Address - Fax:
Practice Address - Street 1:1918 E 2ND ST
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596-5144
Practice Address - Country:US
Practice Address - Phone:956-494-9004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies