# ANGELS ON EARTH DME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780363093
- **Authorized official:** LIZETTE I DE LOS SANTOS (ADMINISTRATOR)
- **Authorized official phone:** (956) 601-0588

## Contact information

- **Practice address:** 4810 N RAUL LONGORIA STE 4A, SAN JUAN, TX 78589
- **Practice address phone:** (956) 601-0588
- **Mailing address:** 4810 N RAUL LONGORIA RD STE 4, SAN JUAN, TX 78589-5178

## Taxonomy

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

## Other

- **Enumeration date:** 07/13/2023
- **Last updated:** 07/13/2023