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NPI Code Detail

MEDICARE: ANDES LIMO

MEDICARE: ANDES LIMO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1013863547
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANDES LIMO
Provider Business Mailing Address
First Line : PO BOX 4051
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-0051
Country : US
Telephone Number : 703-921-8762
Fax Number :
Provider Business Practice Location Address
First Line : 2122 S LINCOLN ST
Second Line :
City : ARLINGTON
State : VA
Zip : 22204-5333
Country : US
Telephone Number : 703-921-8762
Fax Number :
Authorized Official
Title or Position : OWNER
Name : GERALD VASQUEZ
Credential :
Telephone Number : 703-921-8762
Provider Enumeration Date : 03/06/2026
Last Update Date : 03/06/2026

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Directions to “ANDES LIMO ” Practice Location

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