Provider Demographics
NPI:1568548832
Name:CENTRAL VALLEY DME
Entity Type:Organization
Organization Name:CENTRAL VALLEY DME
Other - Org Name:JUANITA RAMOS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL ASST
Authorized Official - Phone:956-969-2785
Mailing Address - Street 1:1508 E. BUS HWY 83
Mailing Address - Street 2:STE D
Mailing Address - City:WESLACO
Mailing Address - State:TX
Mailing Address - Zip Code:78596
Mailing Address - Country:US
Mailing Address - Phone:956-969-2785
Mailing Address - Fax:956-969-2780
Practice Address - Street 1:1508 E. BUS HWY 83
Practice Address - Street 2:STE D
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78596
Practice Address - Country:US
Practice Address - Phone:956-969-2785
Practice Address - Fax:956-969-2780
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32020737022332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies