Provider Demographics
NPI:1942493143
Name:EFRAILAN MARIN
Entity Type:Organization
Organization Name:EFRAILAN MARIN
Other - Org Name:ALPHA MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALACIOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-971-8000
Mailing Address - Street 1:700 N MCCOLL RD
Mailing Address - Street 2:STE. D
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9362
Mailing Address - Country:US
Mailing Address - Phone:956-971-8000
Mailing Address - Fax:956-971-8002
Practice Address - Street 1:700 N MCCOLL RD
Practice Address - Street 2:STE. D
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9362
Practice Address - Country:US
Practice Address - Phone:956-971-8000
Practice Address - Fax:956-971-8002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6062600001Medicare NSC