Organization
CORAZON DEL VALLE DME LLC
Active
Other names
MERIDA HEALTH CARE GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
RODNEY MESQUIAS (OWNER)
(956) 797-3730
Entity
Organization
Contact information
Practice address
1514 S. 77 SUNSHINE STRIP STE 24, HARLINGEN, TX 78550
(956) 797-3730
(956) 797-3779
Mailing address
1514 S. 77 SUNSHINE STRIP STE 24, HARLINGEN, TX 78550-5294
(956) 797-3730
(956) 797-3779
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0077358
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
0077358
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174153001
—
TX
Enumeration date
11/03/2006
Last updated
01/09/2017
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