| Organization Name: | PEQUIN DME-A SALSA INGREDIENT |
| NPI Number: | 1003055674 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTAL TORRENS (PRESIDENT) |
| Mailing Address: | 1313 Guadalupe St Ste 203 San Antonio |
| State: | TX US |
| Postal Code: | 782075546 |
| Phone Number: | 2104797707 |
| Fax Number: | 2104792692 |
| NPI Enumeration Date: | 02/05/2009 |
| NPI Last Update Date: | 07/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 0093615 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |