Provider Demographics
NPI:1518044916
Name:PROFICIENT CARE MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:PROFICIENT CARE MEDICAL SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TRINIDAD
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:210-829-4106
Mailing Address - Street 1:7126 WOODGATE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-1937
Mailing Address - Country:US
Mailing Address - Phone:210-375-5741
Mailing Address - Fax:
Practice Address - Street 1:1747 CITADELL PLZ STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209-1017
Practice Address - Country:US
Practice Address - Phone:210-829-4106
Practice Address - Fax:210-829-4101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies