# LOS NIETOS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LOS NIETOS DME
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609015460
- **Authorized official:** MARIA E RUIZ (CEO)
- **Authorized official phone:** (956) 412-2002

## Contact information

- **Practice address:** 27689 BAKER POTTS RD, HARLINGEN, TX 78552-3755
- **Practice address phone:** (956) 412-2002
- **Practice address fax:** (956) 412-2879
- **Mailing address:** 27689 BAKER POTTS RD, HARLINGEN, TX 78552-3755
- **Mailing address phone:** (956) 412-2002
- **Mailing address fax:** (956) 412-2879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0109097 | TX | Yes |

## Other

- **Enumeration date:** 02/18/2009
- **Last updated:** 10/02/2009