Provider Demographics
NPI:1780709030
Name:CALIBERCARE MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:CALIBERCARE MEDICAL SUPPLY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZUBIATE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:210-618-2129
Mailing Address - Street 1:3453 N PANAM EXPY
Mailing Address - Street 2:104
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78219-2333
Mailing Address - Country:US
Mailing Address - Phone:210-212-2112
Mailing Address - Fax:210-212-2332
Practice Address - Street 1:9902 CALICO PASS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-6123
Practice Address - Country:US
Practice Address - Phone:210-618-2129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies