Organization Name: | GERONIMO PROPERTIES, LLC |
NPI Number: | 1013277748 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE D FLORES (GENERAL MANAGER) |
Mailing Address: | 11321 N Bentsen Rd Mcallen |
State: | TX US |
Postal Code: | 785049772 |
Phone Number: | 9567397809 |
Fax Number: | |
NPI Enumeration Date: | 05/29/2012 |
NPI Last Update Date: | 05/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |