Provider Demographics
NPI:1740386614
Name:QUANTUM DME & RESPIRATORY SERVICES INC
Entity Type:Organization
Organization Name:QUANTUM DME & RESPIRATORY SERVICES INC
Other - Org Name:QUANTUM DME & RESPIRATORY SERVICES INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGELIO
Authorized Official - Middle Name:
Authorized Official - Last Name:VELEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:915-225-0984
Mailing Address - Street 1:3100 N LEE TREVINO DR STE C2
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-2099
Mailing Address - Country:US
Mailing Address - Phone:915-225-0984
Mailing Address - Fax:915-771-8161
Practice Address - Street 1:3100 N LEE TREVINO DR STE C2
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-2099
Practice Address - Country:US
Practice Address - Phone:915-225-0984
Practice Address - Fax:915-771-8161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0078211332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5280510001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER