# FERNANDO X CORPUS & MINERVA F. GUTIERREZ

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Amistad DME LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467634162
- **Authorized official:** MS. MINERVA FLORES GUTIERREZ (PARTNER)
- **Authorized official phone:** (956) 781-5880

## Contact information

- **Practice address:** 216 E EXPRESSWAY 83 STE Q, PHARR, TX 78577-6505
- **Practice address phone:** (956) 781-5880
- **Practice address fax:** (956) 781-4185
- **Mailing address:** 216 E EXPRESSWAY 83 STE Q, PHARR, TX 78577-6505
- **Mailing address phone:** (956) 781-5880
- **Mailing address fax:** (956) 781-4185

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0101256 | TX | Yes |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 0101256 | TX | — |

## Other

- **Enumeration date:** 12/04/2007
- **Last updated:** 05/02/2011