| Organization Name: | DONA ANA MEDICAL SUPPLY |
| NPI Number: | 1225297500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABRAHAM T GONZALEZ (REG RESP THERAPIST / OWNER) |
| Mailing Address: | 3175 N Leslie Rd Silver City |
| State: | NM US |
| Postal Code: | 880617211 |
| Phone Number: | 5753881574 |
| Fax Number: | 5755225938 |
| NPI Enumeration Date: | 06/03/2008 |
| NPI Last Update Date: | 12/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 1110 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |