Provider Demographics
NPI:1548405426
Name:VIVE HEALTH SYSTEMS, LLC
Entity type:Organization
Organization Name:VIVE HEALTH SYSTEMS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-227-3218
Mailing Address - Street 1:PO BOX 720544
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-0544
Mailing Address - Country:US
Mailing Address - Phone:956-227-3218
Mailing Address - Fax:956-686-3227
Practice Address - Street 1:2038 ORCHID AVE
Practice Address - Street 2:SUITE 1,2
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4152
Practice Address - Country:US
Practice Address - Phone:956-227-3218
Practice Address - Fax:956-686-3227
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIVE HEALTH SYSTEMS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies