MEDICARE: GERICA MEDICAL SUPPLIES, INC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376769174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GERICA MEDICAL SUPPLIES, INC

Provider Business Mailing Address
First Line	:	857 E WASHINGTON ST STE A
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-5939
Country	:	US
Telephone Number	:	956-554-3305
Fax Number	:	956-554-3314

Provider Business Practice Location Address
First Line	:	857 E WASHINGTON ST STE A
Second Line	:
City	:	BROWNSVILLE
State	:	TX
Zip	:	78520-5939
Country	:	US
Telephone Number	:	956-554-3305
Fax Number	:	956-554-3314

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NORMA ELENA ARROYO
Credential	:
Telephone Number	:	956-554-3305

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	11/14/2008

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