Healthcare Provider Details

I. General information

NPI: 1962561134
Provider Name (Legal Business Name): MED EQUIP MEDICAL RENTALS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2006
Last Update Date: 03/15/2022
Certification Date: 03/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 MARKET ST
LAREDO TX
78040
US

IV. Provider business mailing address

909 MARKET ST
LAREDO TX
78040
US

V. Phone/Fax

Practice location:
  • Phone: 956-722-5757
  • Fax: 956-712-0747
Mailing address:
  • Phone: 956-722-5757
  • Fax: 956-712-0747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171WV0202X
TaxonomyVehicle Modifications Contractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. RAMON GUADALUPE GALLEGOS SR.
Title or Position: PRESIDENT
Credential:
Phone: 956-722-5757