Organization
DONA ANA MEDICAL SUPPLY
Active
Parent organization
DONA ANA MEDICAL SUPPLY LLC
Other names
Silver City Medical Supply
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONA ANA MEDICAL SUPPLY LLC
Authorized official
MR. ABRAHAM T GONZALEZ RRT (REG RESP THERAPIST / OWNER)
(575) 644-2701
Entity
Organization
Contact information
Practice address
3175 N LESLIE RD, SILVER CITY, NM 88061-7211
(575) 388-1574
(575) 522-5938
Mailing address
3851 E LOHMAN AVE, SUITE #4, LAS CRUCES, NM 88011-8296
(575) 388-1574
(575) 534-4701
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1110
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02946075001
NEW MEXICO STATE TAX ID
NM
05
—
65801571
—
NM
Enumeration date
06/03/2008
Last updated
12/16/2014
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