Provider Demographics
NPI:1356781603
Name:ROSALES & ROSALES INC
Entity type:Organization
Organization Name:ROSALES & ROSALES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HERMINIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSALES
Authorized Official - Suffix:
Authorized Official - Credentials:ABOC
Authorized Official - Phone:956-546-3995
Mailing Address - Street 1:2120 E PRICE RD STE B
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-2401
Mailing Address - Country:US
Mailing Address - Phone:956-546-3995
Mailing Address - Fax:956-546-2444
Practice Address - Street 1:2120 E PRICE RD STE B
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-2401
Practice Address - Country:US
Practice Address - Phone:956-546-3995
Practice Address - Fax:956-546-2444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDR0103332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX020081801Medicaid
TX020081801Medicaid