Healthcare Provider Details

I. General information

NPI: 1134356546
Provider Name (Legal Business Name): M & R REYES MEDICAL EQUIPMENT, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 07/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E MAIN ST
UVALDE TX
78801-5640
US

IV. Provider business mailing address

315 E MAIN ST
UVALDE TX
78801-5640
US

V. Phone/Fax

Practice location:
  • Phone: 830-591-2698
  • Fax: 830-591-2386
Mailing address:
  • Phone: 830-591-2698
  • Fax: 830-591-2386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. INES ROBERTO REYES
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 830-591-2698