MEDICARE: RELIABLE D M E LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)
2	332BX2000X	Oxygen Equipment & Supplies (DME)
3	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1467765073
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RELIABLE D M E LLC

Provider Business Mailing Address
First Line	:	5117 E. HWY 83
Second Line	:	STE. A
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6396
Country	:	US
Telephone Number	:	956-487-2000
Fax Number	:	956-487-2001

Provider Business Practice Location Address
First Line	:	5117 E. HWY 83
Second Line	:	STE. A
City	:	RIO GRANDE CITY
State	:	TX
Zip	:	78582-6396
Country	:	US
Telephone Number	:	956-487-2000
Fax Number	:	956-487-2001

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOSE ONELIO LEAL JR.
Credential	:	LVN
Telephone Number	:	956-487-2000

Provider Enumeration Date	:	07/24/2010
Last Update Date	:	08/26/2013

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Directions to “RELIABLE D M E LLC ” Practice Location

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