Provider Demographics
NPI:1699461533
Name:GIRASOLES MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:GIRASOLES MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:MARISELA
Authorized Official - Last Name:MOYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-568-0540
Mailing Address - Street 1:108 DEL COURT
Mailing Address - Street 2:STE 1
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2276
Mailing Address - Country:US
Mailing Address - Phone:956-568-0540
Mailing Address - Fax:956-568-2535
Practice Address - Street 1:108 DEL COURT
Practice Address - Street 2:STE 1
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2276
Practice Address - Country:US
Practice Address - Phone:956-568-0540
Practice Address - Fax:956-568-2535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies