| Organization Name: | CORAZON DEL VALLE DME LLC |
| NPI Number: | 1225117765 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSE NOE OLIVAREZ (OWNER) |
| Mailing Address: | 130 E Oleander Ave La Feria |
| State: | TX US |
| Postal Code: | 785595294 |
| Phone Number: | 9567973730 |
| Fax Number: | 9567973779 |
| NPI Enumeration Date: | 11/03/2006 |
| NPI Last Update Date: | 07/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BP3500X |
| License Number: | 0077358 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Parenteral & Enteral Nutrition |
| Taxonomy Definition: | |