Provider Demographics
NPI:1659106102
Name:GAVILANES CONSTRUCTION LLC
Entity type:Organization
Organization Name:GAVILANES CONSTRUCTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:O
Authorized Official - Last Name:SAAVEDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-735-6290
Mailing Address - Street 1:526 HERMISTON ST
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78582-6609
Mailing Address - Country:US
Mailing Address - Phone:956-735-6290
Mailing Address - Fax:956-623-1286
Practice Address - Street 1:526 HERMISTON ST
Practice Address - Street 2:
Practice Address - City:RIO GRANDE CITY
Practice Address - State:TX
Practice Address - Zip Code:78582-6609
Practice Address - Country:US
Practice Address - Phone:956-735-6290
Practice Address - Fax:956-623-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty