Provider Demographics
NPI:1427291905
Name:SUPPLY BUG, LLC
Entity type:Organization
Organization Name:SUPPLY BUG, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:RAMIRO
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:956-227-7179
Mailing Address - Street 1:19 N 17TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-4844
Mailing Address - Country:US
Mailing Address - Phone:956-682-2280
Mailing Address - Fax:
Practice Address - Street 1:19 N 17TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-4844
Practice Address - Country:US
Practice Address - Phone:956-467-0072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2010-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6299660001Medicare NSC