Provider Demographics
NPI:1023143930
Name:ROMO MEDICAL EQUIPMENT, LLC
Entity type:Organization
Organization Name:ROMO MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-289-0688
Mailing Address - Street 1:3453 IH 35 N
Mailing Address - Street 2:SUITE 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78219-2333
Mailing Address - Country:US
Mailing Address - Phone:210-532-3895
Mailing Address - Fax:210-532-4858
Practice Address - Street 1:3453 IH 35 N
Practice Address - Street 2:SUITE 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78219-2333
Practice Address - Country:US
Practice Address - Phone:210-532-3895
Practice Address - Fax:210-532-4858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0013641332B00000X
TX0013640332B00000X
TX0087323332B00000X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXQMP000003379726OtherMOLINA HEALTHCARE OF TEXA
TX183432701Medicaid
TX183432702Medicaid
TX183432701Medicaid