Organization
MICHELLE J TREVINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE ALVAREZ (DIRECTOR)
(956) 783-8875
Entity
Organization
Contact information
Practice address
2207 N RAUL LONGORIA RD, SAN JUAN, TX 78589-4114
(956) 783-8875
(956) 783-3072
Mailing address
2207 RAUL LONGORIA ST, SAN JUAN, TX 78589-4114
(956) 783-8875
(956) 783-3072
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0012763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174157101
—
TX
05
—
174157102
—
TX
Enumeration date
05/15/2006
Last updated
06/25/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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