Provider Demographics
NPI:1538109327
Name:CENTRAL MEDICAL EQUIPMENT & SUPPLIES LLC
Entity type:Organization
Organization Name:CENTRAL MEDICAL EQUIPMENT & SUPPLIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-504-9944
Mailing Address - Street 1:301 MEXICO BLVD STE G4
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78520-4110
Mailing Address - Country:US
Mailing Address - Phone:956-504-9944
Mailing Address - Fax:956-504-9945
Practice Address - Street 1:301 MEXICO BLVD STE G4
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78520-4110
Practice Address - Country:US
Practice Address - Phone:956-504-9944
Practice Address - Fax:956-504-9945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0082538332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX174442702Medicaid
TX174442701Medicaid
TX5460780001Medicare NSC