Healthcare Provider Details

I. General information

NPI: 1518549005
Provider Name (Legal Business Name): RGV CALIDAD HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 04/23/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E EXPRESSWAY 83
LA FERIA TX
78559-4742
US

IV. Provider business mailing address

1600 E EXPRESSWAY 83
LA FERIA TX
78559-4742
US

V. Phone/Fax

Practice location:
  • Phone: 956-797-4290
  • Fax: 956-797-4287
Mailing address:
  • Phone: 956-797-4290
  • Fax: 956-797-4287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. FABIAN SILGUERO
Title or Position: PRESIDENT
Credential:
Phone: 956-797-4290