Organization
MARI'S IMPERIAL DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUVENAL OCHOA (ADMINISTRATOR)
(956) 685-1015
Entity
Organization
Contact information
Practice address
2604 N RAUL LONGORIA RD STE 208, SAN JUAN, TX 78589-4221
(956) 385-1015
(956) 552-7498
Mailing address
2602 GARDENIA DR, SAN JUAN, TX 78589-3854
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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