# JAIME ORTIZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MIRACLE MEDICAL EQUIPMENT & SUPPLIES OF SOUTH TEXAS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194864306
- **Authorized official:** MR. JORGE LEE LOZANO (GENERAL MANAGER)
- **Authorized official phone:** (956) 969-9596

## Contact information

- **Practice address:** 502 E EXPRESSWAY 83 STE 16, WESLACO, TX 78596-4538
- **Practice address phone:** (956) 969-9596
- **Mailing address:** 502 E EXPRESSWAY 83 STE 16, WESLACO, TX 78596-4538
- **Mailing address phone:** (956) 969-9596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0077132 | TX | Yes |

## Other

- **Enumeration date:** 02/05/2007
- **Last updated:** 08/22/2020