Provider Demographics
NPI:1205537669
Name:NUESTRA COSECHA DME, LLC
Entity type:Organization
Organization Name:NUESTRA COSECHA DME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-599-9873
Mailing Address - Street 1:1625 CAMINO REAL BLVD
Mailing Address - Street 2:
Mailing Address - City:PENITAS
Mailing Address - State:TX
Mailing Address - Zip Code:78576-2077
Mailing Address - Country:US
Mailing Address - Phone:956-208-0623
Mailing Address - Fax:956-599-9874
Practice Address - Street 1:18012 SAGO PALM DR STE 2
Practice Address - Street 2:
Practice Address - City:PENITAS
Practice Address - State:TX
Practice Address - Zip Code:78576-7392
Practice Address - Country:US
Practice Address - Phone:956-599-9873
Practice Address - Fax:956-599-9874
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies