Healthcare Provider Details

I. General information

NPI: 1750285342
Provider Name (Legal Business Name): J & R MEDICAL SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1202 CORPUS CHRISTI ST
LAREDO TX
78040-5353
US

IV. Provider business mailing address

1202 CORPUS CHRISTI ST
LAREDO TX
78040-5353
US

V. Phone/Fax

Practice location:
  • Phone: 956-568-1572
  • Fax: 956-568-4720
Mailing address:
  • Phone: 956-568-1572
  • Fax: 956-568-4720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUAN LARA
Title or Position: OWNER
Credential:
Phone: 956-568-1572